24W-91056-67976
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 967 / HI
- Registered
- 2021-09-03
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
8SB-27243-61902
Child or adolescent in my care · Female · 2021-09-03
Timeline
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2021-08-30
Dose 1 — Moderna
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2021-09-03
Registered in v-safe
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2021-09-06
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-09-13
- 2021-09-20
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2021-09-27
Dose 2 — Moderna
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2021-09-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-09-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-06
- 2021-10-20
- 2021-10-25
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2021-11-01
Survey response — day 35, dose 2MedDRA: Alopecia — Feeling: GoodFree text: Hair lossMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — day 42, dose 2MedDRA: Alopecia — Feeling: FairFree text: Major hair loss my hair is literally thinning before my eyesMedDRA releases: 2024-11 · check-in free text available
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2021-12-27
Survey response — 3 months, dose 2MedDRA: Alopecia, Dysgeusia, Parosmia, Taste disorder — Feeling: GoodFree text: Smell and taste not same I can't smell stink things or many other things taste ok but heightened sensitivity to salty ness and hair finally stopped falling out but extremely thinned outMedDRA releases: 2024-11 · check-in free text available
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2022-03-28
Survey response — 6 months, dose 2MedDRA: Parosmia, Taste disorder — Feeling: GoodFree text: Same as before smell and taste not the sameMedDRA releases: 2024-11 · check-in free text available
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2022-09-27
Survey response — 12 months, dose 2MedDRA: Asthma, COVID-19, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Got Covid second time around, it triggered my asthma instantly, took paxlovid and asthma symptoms improved within a day symptoms diminished within 5 days.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-30 | Moderna | No |
| 2 | 2021-09-27 | Moderna | No |
Free text
Release 10 — day 35, dose 2
Symptoms: Hair loss
Release 10 — day 42, dose 2
Symptoms: Major hair loss my hair is literally thinning before my eyes
Release 10 — 3 months, dose 2
Symptoms: Smell and taste not same I can't smell stink things or many other things taste ok but heightened sensitivity to salty ness and hair finally stopped falling out but extremely thinned out
Release 11 — 6 months, dose 2
Symptoms: Same as before smell and taste not the same
Release 12 — 12 months, dose 2
Symptoms: Got Covid second time around, it triggered my asthma instantly, took paxlovid and asthma symptoms improved within a day symptoms diminished within 5 days.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Alopecia | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release