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Z8Q-12064-65747

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
322 / FL
Registered
2021-02-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-16
    Dose 1 — Moderna
  2. 2021-02-18
    Registered in v-safe
  3. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Prob a change in meds but i cant be positive
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pyrexia — Feeling: Good · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Fever is high for me; 0100 - 0400
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-02
    Survey response — day 14, dose 1
    MedDRA: Diarrhoea, Headache, Insomnia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Difficulty sleeping, unexpected loose bowels, headache, moderate (foe me) night fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-16
    Dose 2 — Moderna
  12. 2021-03-16
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  16. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  17. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Cough, Dyspnoea, Headache, Pre-existing disease — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Woke Feeling like i was not getting enough air after struggling all night with severe headache; feeling limp when walking around which in my past experiences (decades ago) were associated with lung problems b currently debating a trip to ER altho lack of fever is slowing me down; there is periodic coughing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-20
    Survey response — day 35, dose 2
    MedDRA: Back pain, Chest pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Back and chest aches; some difficulty with leg aches and odd weakness in left leg. These are not necessarily outside my normal medical experience but some of it has appeared after 2nd shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-03-16
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Moderna
22021-03-16Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Prob a change in meds but i cant be positive

2021-02-19

Systemic reaction (other): Fever is high for me; 0100 - 0400

Release 4 — day 14, dose 1

2021-03-02

Symptoms: Difficulty sleeping, unexpected loose bowels, headache, moderate (foe me) night fever

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Woke Feeling like i was not getting enough air after struggling all night with severe headache; feeling limp when walking around which in my past experiences (decades ago) were associated with lung problems b currently debating a trip to ER altho lack of fever is slowing me down; there is periodic coughing

Release 7 — day 35, dose 2

2021-04-20

Symptoms: Back and chest aches; some difficulty with leg aches and odd weakness in left leg. These are not necessarily outside my normal medical experience but some of it has appeared after 2nd shot

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDBack pain ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release