2KQ-11138-88715
3 vaccinations
5 coded responses
23 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 120 / NY
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-21
Registered in v-safe
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2021-01-21
Dose 1 — Moderna
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Nausea, DiarrheaAdult check-in
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Cough — Feeling: GoodFree text: I didnt mention this because it wasnt listed and I feel better today but I did feel fullness in my chest and felt I needed to cough to get it out. Gone now, but I fantasized the shot had given me COVID. I felt it until last night. I did take benedryl.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Self-medication — Feeling: GoodFree text: Chest still full. Used benedryl again and asthma inhaler.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
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2021-01-28
Health check-in — day 7, dose 1Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-04
- 2021-02-11
- 2021-02-20
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2021-02-24
Dose 2 — Moderna
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Pain at the base of my skull and neck in the backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
- 2021-03-01
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Hypertension — Feeling: Poor · Chills, Headache, Fatigue or tiredness · Be unable to workFree text: High blood pressure and a rushing feeling in my headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-19
- 2021-03-26
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2021-03-31
Survey response — day 35, dose 2MedDRA: Chest discomfort, Cough, Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Slight fever, fatigue, chest fullness and coughing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-08-25
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2021-10-26
Dose 3 — Moderna
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · 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
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I didnt mention this because it wasnt listed and I feel better today but I did feel fullness in my chest and felt I needed to cough to get it out. Gone now, but I fantasized the shot had given me COVID. I felt it until last night. I did take benedryl.
Systemic reaction (other): Chest still full. Used benedryl again and asthma inhaler.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Pain at the base of my skull and neck in the back
Systemic reaction (other): High blood pressure and a rushing feeling in my head
Release 6 — day 35, dose 2
Symptoms: Slight fever, fatigue, chest fullness and coughing.
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release