39K-15519-26549
3 vaccinations
9 coded responses
30 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 038 / NH
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Dose 1 — Moderna
-
2021-01-11
Registered in v-safe
- 2021-01-11
- 2021-01-12
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Fever · Fatigue or tiredness, NauseaFree text: SporadicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
- 2021-01-16
-
2021-01-23
Survey response — day 14, dose 1MedDRA: Headache, Oropharyngeal pain — Feeling: FairFree text: Sore throat and headaches on different area'sMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-02-06
-
2021-02-08
Dose 2 — Moderna
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Good · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body achesFree text: After the shot during the night i had a headache , chills, fever and body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · ChillsAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
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2021-03-15
Survey response — day 35, dose 2MedDRA: Dry throat, Oropharyngeal pain, Rhinalgia — Feeling: GoodFree text: Slight sore throat like dry. Sore in my nose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-05-10
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2021-08-11
Survey response — 6 months, dose 2MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sneezing, sore throat, stuff/ runny nose, and coughMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-10
Dose 3 — Moderna
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2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Swelling under L arm pitMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-13
- 2021-11-14
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2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Contusion, Lymphadenopathy — Feeling: Good · Site: PainFree text: Lumb nodes swelling and Large bruising under L arm pit down ribsMedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Pain in extremity, Tenderness — Feeling: Fair · Site: Pain, Swelling · NauseaFree text: Paim under L arm pit goes down my arm if touch areaMedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Survey response — day 7, dose 3MedDRA: Contusion, Lymphadenopathy, Office visit, Pain — Feeling: Good · Site: PainFree text: Yesterday went to Dr. for limp node swelling and pain/ bruising pain is better todayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-24
- 2021-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sporadic
Release 2 — day 14, dose 1
Symptoms: Sore throat and headaches on different area's
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): After the shot during the night i had a headache , chills, fever and body aches
Release 5 — day 35, dose 2
Symptoms: Slight sore throat like dry. Sore in my nose.
Release 9 — 6 months, dose 2
Symptoms: Sneezing, sore throat, stuff/ runny nose, and cough
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling under L arm pit
Systemic reaction (other): Lumb nodes swelling and Large bruising under L arm pit down ribs
Systemic reaction (other): Paim under L arm pit goes down my arm if touch area
Release 10 — day 7, dose 3
Systemic reaction (other): Yesterday went to Dr. for limp node swelling and pain/ bruising pain is better today
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 | Cough | ✓ | · | ✓ |
| SD | Dry throat | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinalgia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release