27Y-43008-77310
5 vaccinations
6 coded responses
36 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 146 / NY
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Pain was only in the first day or two after the shot. In those same days, I felt a little achy, tired, and had a headache. All ok now (5 days post shot).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-13
Dose 2 — Moderna
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased, Insomnia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Heart rate 20-30 bpm higher, difficulty sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-18
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-22
- 2021-03-27
- 2021-05-15
- 2021-08-16
-
2021-10-23
Dose 3 — Moderna
- 2021-10-26
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Bruxism, Headache, Poor quality sleep, Stress — Feeling: Good · HeadacheFree text: I think the headache was unrelated to vaccine -- poor night of sleep and jaw clenching d/t stressful eventsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
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2021-11-20
Survey response — day 28, dose 3MedDRA: Headache, Respiratory tract congestion — Feeling: FairFree text: Mild congestion and headacheMedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Survey response — day 35, dose 3MedDRA: Headache, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: FairFree text: Congestion, headache (all mild). I took a home covid test and it was negative (2 tests 36 hours apart a few days after symptoms started)MedDRA releases: 2024-11 · check-in free text available
- 2021-12-05
- 2022-01-22
-
2022-04-02
Dose 4 — Pfizer-BioNTech
- 2022-04-25
-
2022-09-09
Dose 5 — ModernaCo-administered: Flu
- 2022-09-29
- 2022-10-02
- 2022-10-07
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2022-10-16
Survey response — day 35, dose 5MedDRA: Cough, Exposure to SARS-CoV-2, Headache, Pain, Quarantine, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: GoodFree text: My spouse has covid now. I have had mild congestion, dry cough, headache, body aches. I'm testing negative on home tests, & get a PCR test on day 5 after my husband tested positive. I can do everything normally but am isolating to avoid spread.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-12-09
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-02 | Pfizer-BioNTech | No |
| 5 | 2022-09-09 | Moderna | Flu |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Pain was only in the first day or two after the shot. In those same days, I felt a little achy, tired, and had a headache. All ok now (5 days post shot).
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Heart rate 20-30 bpm higher, difficulty sleeping
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I think the headache was unrelated to vaccine -- poor night of sleep and jaw clenching d/t stressful events
Release 10 — day 28, dose 3
Symptoms: Mild congestion and headache
Release 10 — day 35, dose 3
Symptoms: Congestion, headache (all mild). I took a home covid test and it was negative (2 tests 36 hours apart a few days after symptoms started)
Release 12 — day 35, dose 5
Symptoms: My spouse has covid now. I have had mild congestion, dry cough, headache, body aches. I'm testing negative on home tests, & get a PCR test on day 5 after my husband tested positive. I can do everything normally but am isolating to avoid spread.
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 | Cough | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Bruxism | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Stress | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release