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377-15967-66103

2 vaccinations 8 coded responses 15 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
019 / MA
Registered
2021-03-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-03-26
    Dose 2 — Moderna
  3. 2021-03-27
    Registered in v-safe
  4. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Neck pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Neck pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Fatigue — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: A slight cough, mostly tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Good · Fever · Headache, Fatigue or tiredness
    Free text: Slight cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Dyspnoea — Feeling: Good · Site: Swelling · Fever · Fatigue or tiredness
    Free text: Mild cough, mild shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Respiratory tract congestion — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Slight congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · Headache, Fatigue or tiredness
    Adult check-in
  10. 2021-04-02
    Survey response — day 7, dose 2
    MedDRA: Sinusitis — Feeling: Good · Fatigue or tiredness
    Free text: Have a sinus infection that may be unrelated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-16
    Survey response — day 21, dose 2
    MedDRA: Sinusitis — Feeling: Good · Be unable to do your normal daily activities
    Free text: I have had a bad sinus infection since 4 days after the first vaccination. I didnt mention it before because I dont know if its related. Except I dont know what the cause would be, I did not have a cold or allergies in February. Dont k
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-03-29
    Survey response — 12 months, dose 2
    MedDRA: Chills, Dyspnoea — Feeling: Good · Be unable to do your normal daily activities
    Free text: Shortness of breath, chills
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-03-26Moderna

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Neck pain

2021-03-28

Systemic reaction (other): A slight cough, mostly tired

2021-03-29

Systemic reaction (other): Slight cough

2021-03-30

Systemic reaction (other): Mild cough, mild shortness of breath

2021-03-31

Systemic reaction (other): Slight congestion

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Have a sinus infection that may be unrelated.

Release 7 — day 21, dose 2

2021-04-16

Symptoms: I have had a bad sinus infection since 4 days after the first vaccination. I didnt mention it before because I dont know if its related. Except I dont know what the cause would be, I did not have a cold or allergies in February. Dont k

Release 11 — 12 months, dose 2

2022-03-29

Symptoms: Shortness of breath, chills

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
SDChills · · ✓
SDDyspnoea · · ✓
SDSinusitis ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSinusitis ✓ ✓ ✓

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