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2TC-14147-36193

3 vaccinations 2 coded responses 18 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
462 / IN
Registered
2021-03-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
T56-24388-18197 Child or adolescent in my care · Male · 2022-01-31
FUE-31513-22162 Child or adolescent in my care · Male · 2022-01-31

Timeline

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-03-12
    Registered in v-safe
  3. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches
    Adult check-in
  5. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-08
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-09
    Dose 2 — Moderna
  14. 2021-06-10
    Survey response — 3 months, dose 1
    MedDRA: Abnormal faeces, Diarrhoea, Dysgeusia, Illness, Pain, Rhinorrhoea, Sinus congestion, Symptom recurrence — Feeling: Fair
    Free text: Sinus congestion runny nose, achy. Bad taste in my mouth. Some diarrhea very foul smelling. Repeating cycles of this illness. I feel like I'm getting better a few days then it starts over.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-09-09
    Survey response — 6 months, dose 1
    MedDRA: Blepharospasm, Condition aggravated, Headache, Menstrual disorder, Pain, Parosmia, Pre-existing disease, Sinus disorder, Sluggishness — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sinus issues, menstrual issues, eye twitch of the lower eyelid, smell comes and goes in spurts, headaches are more common, all over general sluggish feeling, joints are more in flamed the usual, and constant ache of everything.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-01-07
    Dose 3 — Moderna
  17. 2022-01-31
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-02-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-02-11
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-02-18
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-04-10
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2023-01-07
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-09Moderna No
32022-01-07Moderna No

Free text

Release 9 — 3 months, dose 1

2021-06-10

Symptoms: Sinus congestion runny nose, achy. Bad taste in my mouth. Some diarrhea very foul smelling. Repeating cycles of this illness. I feel like I'm getting better a few days then it starts over.

Release 9 — 6 months, dose 1

2021-09-09

Symptoms: Sinus issues, menstrual issues, eye twitch of the lower eyelid, smell comes and goes in spurts, headaches are more common, all over general sluggish feeling, joints are more in flamed the usual, and constant ache of everything.

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
SDAbnormal faeces ✓ ✓ ✓
SDBlepharospasm · · ✓
SDCondition aggravated · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDysgeusia ✓ ✓ ✓
SDHeadache · · ✓
SDIllness ✓ ✓ ✓
SDMenstrual disorder · · ✓
SDPain ✓ ✓ ✓
SDParosmia · · ✓
SDPre-existing disease · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSinus congestion ✓ ✓ ✓
SDSinus disorder · · ✓
SDSluggishness · · ✓
SDSymptom recurrence ✓ ✓ ✓

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