2QK-33172-77393
3 vaccinations
8 coded responses
21 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 100 / NY
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-04-01
Registered in v-safe
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2021-04-01
Dose 1 — Moderna
- 2021-04-01
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Very tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth — Feeling: Good · Headache, Fatigue or tiredness, NauseaFree text: Dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-24
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2021-04-29
Dose 2 — Moderna
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2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: Im extremely tired and my throat is a bit soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-05-06
Survey response — day 7, dose 2MedDRA: Chest pain — Feeling: Fair · Headache, Fatigue or tirednessFree text: Slight chest acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — day 14, dose 2MedDRA: Chest pain, Headache, Pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My chest hurts like chest pain,and legs and body are extremely sore walking hurts. I have severe headache it feels like my head isgoing to popMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — day 21, dose 2MedDRA: Chest pain, Musculoskeletal stiffness, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have been getting frequent chest pains and also more body aches and a stiffness to my bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Survey response — day 28, dose 2MedDRA: Chest pain — Feeling: GoodFree text: Aches in my chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-03
- 2021-06-10
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2021-10-30
Survey response — 6 months, dose 2MedDRA: Chest pain, Cough, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My chest hurts im happy i took the vaccine i feel a bit safe but since i got the vaccine i been having shortness of breathe not often but occasionally and constant chest aches i never had this before and a light cough not alot but occasionally as welMedDRA releases: 2024-11 · check-in free text available
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2022-02-04
Dose 3 — Moderna
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2022-02-04 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Very tired
Systemic reaction (other): Dry mouth
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Im extremely tired and my throat is a bit sore
Release 8 — day 7, dose 2
Systemic reaction (other): Slight chest ache
Release 8 — day 14, dose 2
Symptoms: My chest hurts like chest pain,and legs and body are extremely sore walking hurts. I have severe headache it feels like my head isgoing to pop
Release 8 — day 21, dose 2
Symptoms: I have been getting frequent chest pains and also more body aches and a stiffness to my body
Release 8 — day 28, dose 2
Symptoms: Aches in my chest
Release 10 — 6 months, dose 2
Symptoms: My chest hurts im happy i took the vaccine i feel a bit safe but since i got the vaccine i been having shortness of breathe not often but occasionally and constant chest aches i never had this before and a light cough not alot but occasionally as wel cut off by CDC
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 pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release