34S-25944-79884
5 vaccinations
14 coded responses
44 check-ins
14 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 231 / VA
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-17
Dose 1 — Moderna
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2021-04-13
Registered in v-safe
- 2021-04-13
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2021-04-14
Dose 2 — Moderna
- 2021-04-14
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Dry coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · HeadacheAdult check-in
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-15
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2021-11-05
Dose 3 — Moderna
- 2021-11-05
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Headache, Pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dry cough, intermittent shooting pains in headMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Wheezing — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mild cough/wheezingMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessFree text: Occasional coughMedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Wheezing — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Some coughing/wheezingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
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2021-11-19
Survey response — day 14, dose 3MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Dry coughMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-26
- 2021-11-30
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
- 2022-05-06
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2022-07-16
Dose 4 — Moderna
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2022-09-24
Dose 5 — Moderna
- 2022-09-24
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2022-09-25
Survey response — days 1–6 daily, dose 5MedDRA: Cough — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2022-09-26
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
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2022-09-27
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Heart rate irregular — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesFree text: Cough and irregular heartbeat at timesMedDRA releases: 2024-11 · check-in free text available
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2022-09-28
Survey response — days 1–6 daily, dose 5MedDRA: Cough — Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessFree text: Occasional coughMedDRA releases: 2024-11 · check-in free text available
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2022-09-29
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Decreased appetite — Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Coughing spells and no appetiteMedDRA releases: 2024-11 · check-in free text available
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2022-09-30
Survey response — days 1–6 daily, dose 5MedDRA: Cough — Feeling: Good · Headache, Fatigue or tirednessFree text: Occasional coughMedDRA releases: 2024-11 · check-in free text available
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2022-10-01
Survey response — day 7, dose 5MedDRA: Cough, Decreased appetite, Hypogeusia — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dry cough, cannot taste much, no appetiteMedDRA releases: 2024-11 · check-in free text available
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2022-10-08
Survey response — day 14, dose 5MedDRA: Ageusia, Anosmia, Asthenia, Cough, Decreased appetite, Fatigue, Headache, Palpitations, Paraesthesia, Sensation of foreign body, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Dry, hacking cough, skin feels prickly, loss of taste and smell, no appetite, extreme weakness and fatigue, non stop headache, feels like a lump in my throat, heart palpitations. · Healthcare visit (other): Made Doctor Appmt. for October 11, 2022MedDRA releases: 2024-11 · check-in free text available
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2022-10-08
Report sent to call center — day 14, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-10
- 2022-10-10
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-12-24
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-07-16 | Moderna | No |
| 5 | 2022-09-24 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Dry cough
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dry cough, intermittent shooting pains in head
Systemic reaction (other): Cough
Systemic reaction (other): Mild cough/wheezing
Systemic reaction (other): Occasional cough
Systemic reaction (other): Some coughing/wheezing
Release 10 — day 14, dose 3
Symptoms: Dry cough
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Cough
Systemic reaction (other): Cough and irregular heartbeat at times
Systemic reaction (other): Occasional cough
Systemic reaction (other): Coughing spells and no appetite
Systemic reaction (other): Occasional cough
Release 12 — day 7, dose 5
Systemic reaction (other): Dry cough, cannot taste much, no appetite
Release 12 — day 14, dose 5
Symptoms: Dry, hacking cough, skin feels prickly, loss of taste and smell, no appetite, extreme weakness and fatigue, non stop headache, feels like a lump in my throat, heart palpitations.
Healthcare visit (other): Made Doctor Appmt. for October 11, 2022
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Sensation of foreign body | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Heart rate irregular | · | · | ✓ |
| SRO | Hypogeusia | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release