2T7-90786-65915
2 vaccinations
7 coded responses
23 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 124 / NY
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-06
Dose 1 — Moderna
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2021-03-07
Registered in v-safe
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal painAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Pre-existing disease — Feeling: Good · Site: Pain · HeadacheFree text: I have an asthma cough but its definitely been worse since the vaccine. Though better today. Yesterday was bad. Meant to report it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Chills — Feeling: Good · Chills, Fatigue or tirednessFree text: I woke up in the middle of the night and experienced two sequences of chills. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
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2021-04-03
Dose 2 — Moderna
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2021-04-03
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Burning in my stomach and icy prickles Nader the skin of my torsoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper, Dyspepsia, Gingival pain, Hyperaesthesia teeth — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Gum pain. Tooth sensitivity. The stomach pain is still a burning raw feeling in my stomach. In waves.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-08
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Migraine — Feeling: Good · Headache · Be unable to do your normal daily activitiesFree text: I had migraine through the night and woke up with it. The same yesterday though I neglected to write that yesterday. I got distracted and didnt fill this out properly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — day 7, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Woke with a headache. It went away without medicationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-07-03
- 2021-10-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have an asthma cough but its definitely been worse since the vaccine. Though better today. Yesterday was bad. Meant to report it.
Systemic reaction (other): I woke up in the middle of the night and experienced two sequences of chills. No fever.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Burning in my stomach and icy prickles Nader the skin of my torso
Systemic reaction (other): Gum pain. Tooth sensitivity. The stomach pain is still a burning raw feeling in my stomach. In waves.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness.
Systemic reaction (other): I had migraine through the night and woke up with it. The same yesterday though I neglected to write that yesterday. I got distracted and didnt fill this out properly.
Release 7 — day 7, dose 2
Systemic reaction (other): Woke with a headache. It went away without medication
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 |
|---|---|---|---|---|
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Gingival pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperaesthesia teeth | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release