3DG-70356-14235
2 vaccinations
8 coded responses
18 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 620 / IL
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-02-02
Dose 1 — Moderna
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2021-02-22
Registered in v-safe
- 2021-02-22
- 2021-02-23
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2021-03-03
Dose 2 — Moderna
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2021-03-03
Survey response — day 0, dose 2MedDRA: Sensation of foreign body — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Abdominal painFree text: I felt like I had a hairball in my throat once I got into the county I live inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body achesFree text: When will this headache go away?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Chills, Headache, Joint painsAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Vision blurred — Feeling: Good · Site: Pain, Itching · Chills, Headache, Joint painsFree text: With the headacheI had on Saturday , I had blurry vision. Today, it is much betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Chills, Headache, Joint painsAdult check-in
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2021-03-10
Health check-in — day 7, dose 2Feeling: Good · Site: Itching · Chills, Headache, Joint painsAdult check-in
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2021-03-17
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Chest pain — Feeling: GoodFree text: I started to have some stomach pains and some chest pain like heartburn. No diarrhea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 21, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: I have had loose stools and diarrhea in the mornings.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — day 28, dose 2MedDRA: Cough, Pruritus — Feeling: GoodFree text: Coughing and itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
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2021-04-14
Survey response — day 42, dose 2MedDRA: Nausea — Feeling: GoodFree text: Nausea in the morning. TODAY WAS BETTER.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Survey response — 3 months, dose 2MedDRA: Fatigue, Headache — Feeling: FairFree text: Headache is back and I have been more tired lately.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-02
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-03 | Moderna |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): I felt like I had a hairball in my throat once I got into the county I live in
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): When will this headache go away?
Systemic reaction (other): With the headacheI had on Saturday , I had blurry vision. Today, it is much better
Release 5 — day 14, dose 2
Symptoms: I started to have some stomach pains and some chest pain like heartburn. No diarrhea.
Release 6 — day 21, dose 2
Symptoms: I have had loose stools and diarrhea in the mornings.
Release 6 — day 28, dose 2
Symptoms: Coughing and itchy
Release 7 — day 42, dose 2
Symptoms: Nausea in the morning. TODAY WAS BETTER.
Release 8 — 3 months, dose 2
Symptoms: Headache is back and I have been more tired lately.
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Sensation of foreign body | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release