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
-
2021-01-12
Dose 1 — Moderna
-
2021-01-13
Registered in v-safe
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2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-03
-
2021-02-09
Dose 2 — Moderna
-
2021-02-09
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Coughing- chest congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Self-medication — Feeling: Good · Fatigue or tirednessFree text: Cough has lessened with mucinexMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-17
-
2021-02-23
Survey response — day 14, dose 2MedDRA: 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 workFree 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 workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
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2021-05-11
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: I have a cold might be spring allergy relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-12
-
2022-02-09
Survey response — 12 months, dose 2MedDRA: Axillary pain, Oedema peripheral — Feeling: GoodFree text: After the booster shotb I had significant swelling and pain in arm pit on day 3 which lasted 2 daysMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Coughing- chest congestion
Systemic reaction (other): Cough has lessened with mucinex
Release 4 — day 14, dose 2
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
Symptoms: I have a cold might be spring allergy related
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Axillary pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release