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3YN-29348-91625

1 vaccination 9 coded responses 11 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
301 / GA
Registered
2021-05-13
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-11
    Dose 1 — Moderna
  2. 2021-05-13
    Registered in v-safe
  3. 2021-05-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Poor · Site: Pain · Headache, Vomiting · Be unable to do your normal daily activities
    Free text: A dry constant cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Poor · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Free text: A constant Cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Fair · Headache, Muscle or body aches, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Constant cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Fair · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: Constant cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-18
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Nausea
    Adult check-in
  8. 2021-05-25
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Loose bowels left leg hip hurts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-01
    Survey response — day 21, dose 1
    MedDRA: Cough, Headache, Myalgia, Pain, Pain in extremity, Wheezing — Feeling: Poor · Be unable to do your normal daily activities
    Free text: My whole body hurts my Muscle legs arms feet mainly when I try to sleep or sit still but I still have the headache Im still wheezing and coughing ...why am I so sick?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-08
    Survey response — day 28, dose 1
    MedDRA: Cough, Headache, Pain, Rash, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free text: A Rash all over my body neck arms breast legs ankles and hand still coughing but not as much I feel my body aching and my body hurts when Im sleeping yes and still have the headache which hasnt gone away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-17
    Survey response — day 35, dose 1
    MedDRA: Asthma, Cough, Diarrhoea, Headache, Influenza like illness, Myalgia, Pre-existing disease, Productive cough, Rash, Rash pruritic, Sleep disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Nonstop coughing headache diarrhea muscle ache asthma still bothering me and coughing up phlegm cant sleep because Im coughing still and I still have rash all over that itches I feel like I have the flu
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-23
    Survey response — day 42, dose 1
    MedDRA: Cough, Productive cough — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Coughing more phlegm up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-08-10
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-11Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-13

Systemic reaction (other): A dry constant cough

2021-05-14

Systemic reaction (other): A constant Cough

2021-05-15

Systemic reaction (other): Constant cough

2021-05-17

Systemic reaction (other): Constant cough

Release 8 — day 14, dose 1

2021-05-25

Symptoms: Loose bowels left leg hip hurts

Release 8 — day 21, dose 1

2021-06-01

Symptoms: My whole body hurts my Muscle legs arms feet mainly when I try to sleep or sit still but I still have the headache Im still wheezing and coughing ...why am I so sick?

Release 8 — day 28, dose 1

2021-06-08

Symptoms: A Rash all over my body neck arms breast legs ankles and hand still coughing but not as much I feel my body aching and my body hurts when Im sleeping yes and still have the headache which hasnt gone away

Release 9 — day 35, dose 1

2021-06-17

Symptoms: Nonstop coughing headache diarrhea muscle ache asthma still bothering me and coughing up phlegm cant sleep because Im coughing still and I still have rash all over that itches I feel like I have the flu

Release 9 — day 42, dose 1

2021-06-23

Symptoms: Coughing more phlegm up

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
SDArthralgia ✓ ✓ ✓
SDAsthma ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInfluenza like illness ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDProductive cough ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDSleep disorder ✓ ✓ ✓
SDWheezing ✓ ✓ ✓
SROCough ✓ ✓ ✓

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

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