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3UJ-21992-26626

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
395 / MS
Registered
2021-07-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-28
    Dose 1 — Moderna
  2. 2021-07-29
    Registered in v-safe
  3. 2021-07-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-07-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-07-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness
    Free text: Swollen lymph node in armpit of arm the vaccine was given
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-08-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-08-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-08-25
    Survey response — day 28, dose 1
    MedDRA: Dyspnoea, Headache, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Headache, body aches, shortness of breath, sore throat. Tested today ,day symptoms started, told to retest this weekend.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  10. 2021-08-27
    Dose 2 — Moderna
  11. 2021-08-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-08-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Swollen lymph nodes in armpit
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-08-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Heat at injection site
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-08-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-09-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-09-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-09-05
    Survey response — day 7, dose 2
    MedDRA: Oropharyngeal pain, Productive cough, Sinus congestion — Feeling: Fair · Fever · Headache, Fatigue or tiredness
    Free text: I have developed sinus congestion, a sore throat and am coughing up phlegm. I know the vaccine cant make you sick but Im wondering if it lowered my immune system and thats what I got sick.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-09-12
    Survey response — day 14, dose 2
    MedDRA: Bronchitis, Productive cough, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: 7 days into antibiotics for possible bronchitis but am getting worse. Intermittent fever and lots of phlegm
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-09-19
    Survey response — day 21, dose 2
    MedDRA: Cough — Feeling: Fair · Be unable to work or attend school
    Free text: Persistent cough
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-09-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-28Moderna No
22021-08-27Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-31

Systemic reaction (other): Swollen lymph node in armpit of arm the vaccine was given

Release 9 — day 28, dose 1

2021-08-25

Symptoms: Headache, body aches, shortness of breath, sore throat. Tested today ,day symptoms started, told to retest this weekend.

Release 9 — days 1–6 daily, dose 2

2021-08-29

Systemic reaction (other): Swollen lymph nodes in armpit

2021-08-30

Systemic reaction (other): Heat at injection site

Release 9 — day 7, dose 2

2021-09-05

Systemic reaction (other): I have developed sinus congestion, a sore throat and am coughing up phlegm. I know the vaccine cant make you sick but Im wondering if it lowered my immune system and thats what I got sick.

Release 9 — day 14, dose 2

2021-09-12

Symptoms: 7 days into antibiotics for possible bronchitis but am getting worse. Intermittent fever and lots of phlegm

Release 9 — day 21, dose 2

2021-09-19

Symptoms: Persistent cough

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
SDBronchitis · · ✓
SDCough · · ✓
SDDyspnoea ✓ · ✓
SDHeadache ✓ · ✓
SDOropharyngeal pain ✓ · ✓
SDPain ✓ · ✓
SDProductive cough · · ✓
SDPyrexia · · ✓
SROInjection site warmth ✓ · ✓
SROLymphadenopathy ✓ · ✓
SROOropharyngeal pain ✓ · ✓
SROProductive cough ✓ · ✓
SROSinus congestion ✓ · ✓

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