2NV-27773-97252
4 vaccinations
12 coded responses
52 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 112 / NY
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-02-28
Dose 2 — Moderna
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2021-02-28
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Good · Site: PainFree text: Mild sore and itchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: FairFree text: Dry cough, and mild sore throat, began today around noon; feels like a new URI. Should I get a COVID test?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Be unable to workFree text: Dry cough and sore throat from yesterday have resolved. I did not get a COVID test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Insomnia — Feeling: Good · Fatigue or tirednessFree text: Poor sleep last night: difficulty going to sleep: may account for fatigue todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — day 7, dose 2MedDRA: Productive cough — Feeling: Good · HeadacheFree text: Mild phlegm in throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — day 14, dose 2MedDRA: Cough, Fatigue, Oropharyngeal pain, Productive cough, Rhinorrhoea, Upper respiratory tract infection — Feeling: FairFree text: Mild symptoms of upper respiratory infection: intermittent runny nose, occasional sore throat, increased phlegm in throat, occasional dry cough; occasional fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-29
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2021-04-04
Survey response — day 35, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: Slightly loose bowel movementsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-05-30
- 2021-08-30
-
2021-11-20
Dose 3 — Moderna
- 2021-11-21
- 2021-11-22
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: FairFree text: Slight throat congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-11-26
- 2021-11-29
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-02-19
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2022-04-09
Dose 4 — Moderna
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2022-04-09
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
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2022-04-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2022-04-11
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2022-04-12
Survey response — days 1–6 daily, dose 4MedDRA: Tongue ulceration — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: Small ulcers on tongue (like "cold sores")MedDRA releases: 2024-11 · check-in free text available
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2022-04-13
Survey response — days 1–6 daily, dose 4MedDRA: Tongue ulceration — Feeling: GoodFree text: Small ulcers on tongue are improvingMedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: Increased upper airway secretion, Nasal congestion — Feeling: Fair · Fatigue or tirednessFree text: Slightly stuffy nose and mucus in throstMedDRA releases: 2024-11 · check-in free text available
- 2022-04-16
- 2022-04-23
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2022-05-02
Survey response — day 21, dose 4MedDRA: Rhinorrhoea — Feeling: GoodFree text: Mild runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-05-09
- 2022-05-14
- 2022-05-21
- 2022-07-09
- 2022-10-08
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-28 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Mild sore and itchy throat
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Dry cough, and mild sore throat, began today around noon; feels like a new URI. Should I get a COVID test?
Systemic reaction (other): Dry cough and sore throat from yesterday have resolved. I did not get a COVID test.
Systemic reaction (other): Poor sleep last night: difficulty going to sleep: may account for fatigue today
Release 5 — day 7, dose 2
Systemic reaction (other): Mild phlegm in throat
Release 5 — day 14, dose 2
Symptoms: Mild symptoms of upper respiratory infection: intermittent runny nose, occasional sore throat, increased phlegm in throat, occasional dry cough; occasional fatigue
Release 6 — day 35, dose 2
Symptoms: Slightly loose bowel movements
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Slight throat congestion
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Small ulcers on tongue (like "cold sores")
Systemic reaction (other): Small ulcers on tongue are improving
Systemic reaction (other): Slightly stuffy nose and mucus in throst
Release 11 — day 21, dose 4
Symptoms: Mild runny nose
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Increased upper airway secretion | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Tongue ulceration | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release