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
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2021-02-26
Dose 1 — Moderna
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2021-03-26
Dose 2 — Moderna
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2021-03-27
Registered in v-safe
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Neck painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Fatigue — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: A slight cough, mostly tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Good · Fever · Headache, Fatigue or tirednessFree text: Slight coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Dyspnoea — Feeling: Good · Site: Swelling · Fever · Fatigue or tirednessFree text: Mild cough, mild shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Slight congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-04-02
Survey response — day 7, dose 2MedDRA: Sinusitis — Feeling: Good · Fatigue or tirednessFree text: Have a sinus infection that may be unrelated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
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2021-04-16
Survey response — day 21, dose 2MedDRA: Sinusitis — Feeling: Good · Be unable to do your normal daily activitiesFree 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 kMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
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2022-03-29
Survey response — 12 months, dose 2MedDRA: Chills, Dyspnoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Shortness of breath, chillsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Neck pain
Systemic reaction (other): A slight cough, mostly tired
Systemic reaction (other): Slight cough
Systemic reaction (other): Mild cough, mild shortness of breath
Systemic reaction (other): Slight congestion
Release 6 — day 7, dose 2
Systemic reaction (other): Have a sinus infection that may be unrelated.
Release 7 — day 21, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sinusitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release