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2TR-28381-16163

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
030 / NH
Registered
2021-04-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-23
    Dose 1 — Moderna
  2. 2021-04-24
    Registered in v-safe
  3. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Most likely from not sleeping well last night - my son kept me awake
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness, Abdominal pain
    Free text: I have inflammatory bowel disease so this is common for me during a flare or if I eat something that bothers me
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-14
    Survey response — day 21, dose 1
    MedDRA: Colitis microscopic, Condition aggravated, Pre-existing disease — Feeling: Fair
    Free text: Just my lymphocytic colitis flare up. His is common and most likely not related to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-21
    Dose 2 — Moderna
  13. 2021-05-21
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-05-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-05-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-05-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety, Headache — Feeling: Fair · Site: Pain, Redness, Swelling · Headache
    Free text: Headache is probably due to hormones. I had a ton of anxiety today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Fair · Site: Redness, Swelling
    Free text: I think the rash on my arm is covid arm although it happened a day and a half after moderna shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-28
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  20. 2021-06-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-19
    Survey response — 6 months, dose 2
    MedDRA: COVID-19, Influenza, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Covid, flu, or common cold symptoms a couple of weeks ago. No test was taken so unsure what it was. Lasted about 4 days.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-05-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-23Moderna
22021-05-21Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Most likely from not sleeping well last night - my son kept me awake

2021-04-28

Systemic reaction (other): I have inflammatory bowel disease so this is common for me during a flare or if I eat something that bothers me

Release 8 — day 21, dose 1

2021-05-14

Symptoms: Just my lymphocytic colitis flare up. His is common and most likely not related to the vaccine.

Release 8 — days 1–6 daily, dose 2

2021-05-24

Systemic reaction (other): Headache is probably due to hormones. I had a ton of anxiety today.

2021-05-25

Systemic reaction (other): I think the rash on my arm is covid arm although it happened a day and a half after moderna shot.

Release 10 — 6 months, dose 2

2021-11-19

Symptoms: Covid, flu, or common cold symptoms a couple of weeks ago. No test was taken so unsure what it was. Lasted about 4 days.

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
SDColitis microscopic ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDCOVID-19 · · ✓
SDInfluenza · · ✓
SDNasopharyngitis · · ✓
SDPre-existing disease ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORash ✓ ✓ ✓

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