343-89365-33641
5 vaccinations
6 coded responses
19 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 212 / MD
- Registered
- 2022-05-05
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZBC-71839-01563
Other · Female · 2022-09-28
Y9B-23529-77731
Child or adolescent in my care · Female · 2022-10-08
7ZR-69993-53763
Child or adolescent in my care · Male · 2022-10-08
ZKV-22044-55567
Child or adolescent in my care · Female · 2022-10-10
Timeline
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2021-03-14
Dose 1 — Moderna
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2021-04-11
Dose 2 — Moderna
-
2021-11-24
Dose 3 — Moderna
-
2022-05-05
Registered in v-safe
-
2022-05-05
Dose 4 — Moderna
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2022-05-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-05-12
- 2022-05-19
- 2022-05-26
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2022-06-02
Survey response — day 28, dose 4MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: FairFree text: Fatigue and some body aches, but I also have MS and the weather conditions has been really hot, humid, and bad for MS patients.MedDRA releases: 2024-11 · check-in free text available
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2022-06-11
Survey response — day 35, dose 4MedDRA: Condition aggravated, Fatigue, Neuralgia, Pain, Pre-existing disease, Stress — Feeling: FairFree text: My nerve pain feels like it was activated and became intense. I was a little achy and tired, but I have MS, suffered 2 strokes 5 years ago and am going through some stress in life.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-16
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2022-08-05
Survey response — 3 months, dose 4MedDRA: Cough, Fatigue, Headache, Influenza, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache, cough, chest congestion, achy, and tired. I have the fluMedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Dose 5 — Moderna
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2022-10-08
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-09
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-10
Health check-in — day 7, dose 5Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-17
- 2022-10-25
- 2022-10-31
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2022-11-07
Survey response — day 35, dose 5MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Sore throat, chest congestion, and tiredMedDRA releases: 2024-11 · check-in free text available
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2022-11-14
Survey response — day 42, dose 5MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: GoodFree text: Cough, sore throat, fatigueMedDRA releases: 2024-11 · check-in free text available
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2023-01-02
Survey response — 3 months, dose 5MedDRA: Cough, Fatigue, Nasopharyngitis, Pain, Rhinorrhoea, Sinus disorder, Sneezing — Feeling: FairMedDRA releases: 2024-11
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Moderna | No |
| 2 | 2021-04-11 | Moderna | No |
| 3 | 2021-11-24 | Moderna | No |
| 4 | 2022-05-05 | Moderna | No |
| 5 | 2022-10-03 | Moderna | No |
Free text
Release 11 — day 28, dose 4
Symptoms: Fatigue and some body aches, but I also have MS and the weather conditions has been really hot, humid, and bad for MS patients.
Release 12 — day 35, dose 4
Symptoms: My nerve pain feels like it was activated and became intense. I was a little achy and tired, but I have MS, suffered 2 strokes 5 years ago and am going through some stress in life.
Release 12 — 3 months, dose 4
Symptoms: Headache, cough, chest congestion, achy, and tired. I have the flu
Release 12 — day 35, dose 5
Symptoms: Sore throat, chest congestion, and tired
Release 12 — day 42, dose 5
Symptoms: Cough, sore throat, fatigue
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 | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Stress | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release