2RX-20069-59528
4 vaccinations
9 coded responses
54 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 672 / KS
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-21
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-01-24
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Self-medication, Upper-airway cough syndrome — Feeling: GoodFree text: I have a lot of thick mucous drainage, like post nasal drip. I doubt that it is related to the vaccine, but thought I would mention it. Ive been taking my Mucinex.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: Secretion discharge — Feeling: GoodFree text: Still have mucous drainage. I dont really think it is related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-02-04
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2021-02-11
Survey response — day 21, dose 1MedDRA: Paranasal sinus hypersecretion, Pyrexia, Respiratory tract congestion, Self-medication — Feeling: FairFree text: I have had a lot of sinus drainage and congestion and Tuesday I had a bit of a fever. My temp is ok today, but I am taking Zyrtec D and Mucinex to get by. I dont think it is related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Dose 2 — Moderna
- 2021-02-18
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-21
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: At this point I think my headache is a sinus headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
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2021-04-01
Survey response — day 42, dose 2MedDRA: Adverse reaction — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had my 2nd Shingrix vaccination on Monday and the side effects have been harsh. Just now feeling human again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — 3 months, dose 2MedDRA: Hypersensitivity — Feeling: GoodFree text: I have had the worst allergy season of my life this spring.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-19
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2021-10-28
Dose 3 — Moderna
- 2021-10-28
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
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2021-12-09
Survey response — day 42, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: I have a coldMedDRA releases: 2024-11 · check-in free text available
- 2022-01-27
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2022-04-26
Dose 4 — Moderna
- 2022-04-26
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2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
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2022-07-26
Survey response — 3 months, dose 4MedDRA: Diverticulitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have diverticulitis now. I don't think it is related to the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
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2023-04-26
Survey response — 12 months, dose 4MedDRA: Arthritis, Visual impairment — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-26 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I have a lot of thick mucous drainage, like post nasal drip. I doubt that it is related to the vaccine, but thought I would mention it. Ive been taking my Mucinex.
Systemic reaction (other): Still have mucous drainage. I dont really think it is related to the vaccine.
Release 4 — day 21, dose 1
Symptoms: I have had a lot of sinus drainage and congestion and Tuesday I had a bit of a fever. My temp is ok today, but I am taking Zyrtec D and Mucinex to get by. I dont think it is related to the vaccine.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): At this point I think my headache is a sinus headache.
Release 6 — day 42, dose 2
Symptoms: I had my 2nd Shingrix vaccination on Monday and the side effects have been harsh. Just now feeling human again.
Release 8 — 3 months, dose 2
Symptoms: I have had the worst allergy season of my life this spring.
Release 10 — day 42, dose 3
Symptoms: I have a cold
Release 12 — 3 months, dose 4
Symptoms: I have diverticulitis now. I don't think it is related to the vaccine.
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Diverticulitis | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Secretion discharge | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release