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
-
2021-04-23
Dose 1 — Moderna
-
2021-04-24
Registered in v-safe
- 2021-04-24
- 2021-04-25
- 2021-04-26
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2021-04-27
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Fair · Headache, Fatigue or tirednessFree text: Most likely from not sleeping well last night - my son kept me awakeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness, Abdominal painFree text: I have inflammatory bowel disease so this is common for me during a flare or if I eat something that bothers meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-02
- 2021-05-07
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2021-05-14
Survey response — day 21, dose 1MedDRA: Colitis microscopic, Condition aggravated, Pre-existing disease — Feeling: FairFree 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
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2021-05-21
Dose 2 — Moderna
- 2021-05-21
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2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-05-24
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Headache — Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheFree 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
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2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Redness, SwellingFree 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
- 2021-05-27
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
- 2021-08-20
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2021-11-19
Survey response — 6 months, dose 2MedDRA: COVID-19, Influenza, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree 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
- 2022-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna | |
| 2 | 2021-05-21 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Most likely from not sleeping well last night - my son kept me awake
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
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
Systemic reaction (other): Headache is probably due to hormones. I had a ton of anxiety today.
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Colitis microscopic | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release