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3BQ-23224-19556

3 vaccinations 5 coded responses 28 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
189 / PA
Registered
2021-02-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-17
    Dose 1 — Moderna
  2. 2021-02-18
    Registered in v-safe
  3. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Parosmia — Feeling: Good · Site: Pain
    Free text: The evening of 2/17/21 after receiving vaccine, I experienced a slight headache and a smell through my nose upon going to bed. The smell can only be described as medical/hospital like and not present after sleeping. Kinda weird but thought I would report.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-17
    Dose 2 — Moderna
  13. 2021-03-17
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Fuzzy brain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Pyrexia — Feeling: Good · Site: Pain, Redness, Itching
    Free text: Yesterday 3/18/21 chills/fever 100.4 late afternoon and evening.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  17. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  18. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  19. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  20. 2021-03-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-31
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-20
    Dose 3 — Moderna
  29. 2022-03-17
    Survey response — 12 months, dose 2
    MedDRA: Diarrhoea, Headache, SARS-CoV-2 test negative, Sjogren's syndrome, Viral infection, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sjögren's syndrome Non-COVID virus (diarrhea, headache, vomiting) negative COVID test
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-03-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-06-20
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-12-20
    Survey response — 12 months, dose 3
    MedDRA: Sjogren's syndrome — Feeling: Good
    Free text: Diagnosed with Sjgren's syndrome
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Moderna
22021-03-17Moderna
32021-12-20Moderna No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): The evening of 2/17/21 after receiving vaccine, I experienced a slight headache and a smell through my nose upon going to bed. The smell can only be described as medical/hospital like and not present after sleeping. Kinda weird but thought I would report.

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Fuzzy brain

2021-03-19

Systemic reaction (other): Yesterday 3/18/21 chills/fever 100.4 late afternoon and evening.

Release 11 — 12 months, dose 2

2022-03-17

Symptoms: Sjögren's syndrome Non-COVID virus (diarrhea, headache, vomiting) negative COVID test

Release 12 — 12 months, dose 3

2022-12-20

Symptoms: Diagnosed with Sjgren's syndrome

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
SDDiarrhoea · · ✓
SDHeadache · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSjogren's syndrome · · ✓
SDViral infection · · ✓
SDVomiting · · ✓
SROChills ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROParosmia ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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

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