3VC-10171-12423
4 vaccinations
10 coded responses
46 check-ins
10 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 36-40
- ZIP prefix
- 805 / CO
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-28
Registered in v-safe
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2021-01-28
Dose 1 — Moderna
- 2021-01-28
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Syncope, Throat irritation — Feeling: Good · Site: Pain · Headache, Abdominal painFree text: Slightly itchy throat, likely unrelated. Was extremely faint yesterday moments before getting the shot. I get this occasionally and it usually clears after in a day or two.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Throat irritation — Feeling: Good · Site: Itching · Muscle or body achesFree text: Itchy throat, light cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
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2021-02-11
Survey response — day 14, dose 1MedDRA: Cough — Feeling: GoodFree text: Ive had a very slight cough these past few days. I also worked in a dusty area a few hours after it first started, so could be related. Its very slight, maybe two or three coughs a day. Nothing major, no fever, and feeling good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
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2021-02-25
Dose 2 — Moderna
- 2021-02-25
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Heart rate increased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Slight cough, elevated heart rate. All side-effects were terrible overnight, but have since abated somewhat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Diarrhoea, Heart rate increased — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Elevated heart rate, light cough. All side-effects above worsened after I sent in my last checkin saying they had abated. However, after waking up this morning, they greatly abated once again, with no symptoms flaring back up, other than slight diarrhea. Heart rate has also, finally, returned to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Diarrhea, Abdominal painFree text: Still light cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Diarrhea, Abdominal painFree text: Slight cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
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2021-03-11
Survey response — day 14, dose 2MedDRA: Cough, SARS-CoV-2 test negative — Feeling: GoodFree text: My slight cough has largely abated, though it does come back occasionally, and not every day. I took a PCR test on Tuesday that came back negative.The cough itself started the morning of my 2nd shot, just a few hours prior.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
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2021-05-27
Survey response — 3 months, dose 2MedDRA: Cough, SARS-CoV-2 test negative — Feeling: GoodFree text: Cough, but ended up being allergies/dirty air filters. Had a negative CoViD test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-26
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2021-10-24
Dose 3 — Moderna
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painFree text: Soreness under my armpit.MedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-30
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2021-10-31
Health check-in — day 7, dose 3Feeling: Good · Site: Itching · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
- 2022-04-24
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2022-09-07
Dose 4 — Moderna
- 2022-09-14
- 2022-09-21
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-09-07 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Slightly itchy throat, likely unrelated. Was extremely faint yesterday moments before getting the shot. I get this occasionally and it usually clears after in a day or two.
Systemic reaction (other): Itchy throat, light cough.
Release 4 — day 14, dose 1
Symptoms: Ive had a very slight cough these past few days. I also worked in a dusty area a few hours after it first started, so could be related. Its very slight, maybe two or three coughs a day. Nothing major, no fever, and feeling good.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Slight cough, elevated heart rate. All side-effects were terrible overnight, but have since abated somewhat.
Systemic reaction (other): Elevated heart rate, light cough. All side-effects above worsened after I sent in my last checkin saying they had abated. However, after waking up this morning, they greatly abated once again, with no symptoms flaring back up, other than slight diarrhea. Heart rate has also, finally, returned to normal
Systemic reaction (other): Still light cough.
Systemic reaction (other): Slight cough.
Release 5 — day 14, dose 2
Symptoms: My slight cough has largely abated, though it does come back occasionally, and not every day. I took a PCR test on Tuesday that came back negative.The cough itself started the morning of my 2nd shot, just a few hours prior.
Release 8 — 3 months, dose 2
Symptoms: Cough, but ended up being allergies/dirty air filters. Had a negative CoViD test.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Soreness under my armpit.
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 | Cough | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release