3NX-12133-84967
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 450 / OH
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
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2021-03-08
Dose 1 — Moderna
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2021-03-08
Survey response — day 0, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: I had covid in November 2020. I still have the on going issues from the virus. No smell, taste, disruptive sleep, brain fog.MedDRA 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 1Feeling: Fair · Site: Pain, Redness · ChillsAdult check-in
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-15
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2021-03-23
Survey response — day 14, dose 1MedDRA: Ageusia, Anosmia, COVID-19, Fatigue, Headache, Office visit, Rhinorrhoea, Sleep disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had covid in November & have been dealing with on going issues since then. Fatigue, headaches, still no taste or smell, runn y nose, disruptive sleep . My doctor has ran blood work, he said my issues are from covid · Healthcare visit (other): Appointment with my doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-05
Dose 2 — Moderna
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2021-04-05
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Fair · Site: Pain, SwellingFree text: Not todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-12
- 2021-04-20
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2021-10-04
Survey response — 6 months, dose 2MedDRA: Office visit, Respiratory disorder — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I can't remember if I had stated before that at times I have breathing issues · Healthcare visit (other): Visit with my doctorMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): I had covid in November 2020. I still have the on going issues from the virus. No smell, taste, disruptive sleep, brain fog.
Release 6 — day 14, dose 1
Symptoms: I had covid in November & have been dealing with on going issues since then. Fatigue, headaches, still no taste or smell, runn y nose, disruptive sleep . My doctor has ran blood work, he said my issues are from covid
Healthcare visit (other): Appointment with my doctor
Release 6 — day 0, dose 2
Systemic reaction (other): Not today
Release 10 — 6 months, dose 2
Symptoms: I can't remember if I had stated before that at times I have breathing issues
Healthcare visit (other): Visit with my doctor
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Ageusia | ✓ | ✓ | ✓ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release