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3M5-13071-06714

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
550 / MN
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-09
    Dose 2 — Moderna
  13. 2021-02-09
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  16. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Coughing- chest congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Self-medication — Feeling: Good · Fatigue or tiredness
    Free text: Cough has lessened with mucinex
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-23
    Survey response — day 14, dose 2
    MedDRA: Asthma, Chills, Cough, Impaired work ability, Medical counselling, Pre-existing disease, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to work
    Free text: I developed a mild cough 3 days ago vaccine History of severe asthma/ called dr probably related to vaccine 8 days after vaccine spiked temp , severe chills Covid test negative- started antibiotic for URI Missed 2 days work
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-11
    Survey response — 3 months, dose 2
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: I have a cold might be spring allergy related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-02-09
    Survey response — 12 months, dose 2
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good
    Free text: After the booster shotb I had significant swelling and pain in arm pit on day 3 which lasted 2 days
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Coughing- chest congestion

2021-02-13

Systemic reaction (other): Cough has lessened with mucinex

Release 4 — day 14, dose 2

2021-02-23

Symptoms: I developed a mild cough 3 days ago vaccine History of severe asthma/ called dr probably related to vaccine 8 days after vaccine spiked temp , severe chills Covid test negative- started antibiotic for URI Missed 2 days work

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: I have a cold might be spring allergy related

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: After the booster shotb I had significant swelling and pain in arm pit on day 3 which lasted 2 days

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
SDAsthma ✓ ✓ ✓
SDAxillary pain · · ✓
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOedema peripheral · · ✓
SDPre-existing disease ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDUpper respiratory tract infection ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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