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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

  1. 2021-03-06
    Dose 1 — Moderna
  2. 2021-03-07
    Registered in v-safe
  3. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain
    Adult check-in
  4. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthma, Pre-existing disease — Feeling: Good · Site: Pain · Headache
    Free 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
  5. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills — Feeling: Good · Chills, Fatigue or tiredness
    Free 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
  7. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-03
    Dose 2 — Moderna
  13. 2021-04-03
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Burning in my stomach and icy prickles Nader the skin of my torso
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  16. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Migraine — Feeling: Good · Headache · Be unable to do your normal daily activities
    Free 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
  20. 2021-04-10
    Survey response — day 7, dose 2
    MedDRA: Headache — Feeling: Good · Headache
    Free text: Woke with a headache. It went away without medication
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-03
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna
22021-04-03Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

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.

2021-03-10

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

2021-04-04

Systemic reaction (other): Burning in my stomach and icy prickles Nader the skin of my torso

2021-04-05

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

2021-04-06

Systemic reaction (other): Dizziness.

2021-04-09

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

2021-04-10

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

FieldPreferred term2021-092023-042024-11
SROAbdominal pain upper ✓ ✓ ✓
SROAsthma ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspepsia ✓ ✓ ✓
SROGingival pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHyperaesthesia teeth ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release