4EE-58728-40662
2 vaccinations
6 coded responses
13 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 117 / NY
- Registered
- 2021-06-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-04
Dose 1 — Moderna
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2021-06-01
Registered in v-safe
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2021-06-01
Dose 2 — Moderna
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2021-06-02
Survey response — days 1–6 daily, dose 2MedDRA: Dehydration — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Dehydration despite drinking excessiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-06-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-06-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-06-08
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-06-15
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2021-06-22
Survey response — day 21, dose 2MedDRA: Migraine — Feeling: Poor · Be unable to work or attend schoolFree text: Migraine headaches (never had before)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-29
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2021-07-06
Survey response — day 35, dose 2MedDRA: Headache, Migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: First migraine ever, woke up with throbbing headache that worsened with light and sound and somewhat better in dark and quiet. Never had a migraine before in my life.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-13
Survey response — day 42, dose 2MedDRA: Headache, Photophobia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe headache, light and sound sensitivity, never had before vaccination my entire lifeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-31
Survey response — 3 months, dose 2MedDRA: Acute sinusitis, Headache, Migraine — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Frequent headaches, newly developed migraines, currently acute unilateral sinusitisMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-31
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-02
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2021-11-30
Survey response — 6 months, dose 2MedDRA: Sinusitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Unilateral sinusitis lasting more than 3 monthsMedDRA releases: 2024-11 · check-in free text available
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2021-11-30
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-01
- 2022-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Moderna | |
| 2 | 2021-06-01 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Dehydration despite drinking excessive
Release 9 — day 21, dose 2
Symptoms: Migraine headaches (never had before)
Release 9 — day 35, dose 2
Symptoms: First migraine ever, woke up with throbbing headache that worsened with light and sound and somewhat better in dark and quiet. Never had a migraine before in my life.
Release 9 — day 42, dose 2
Symptoms: Severe headache, light and sound sensitivity, never had before vaccination my entire life
Release 9 — 3 months, dose 2
Symptoms: Frequent headaches, newly developed migraines, currently acute unilateral sinusitis
Release 10 — 6 months, dose 2
Symptoms: Unilateral sinusitis lasting more than 3 months
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 | Acute sinusitis | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Photophobia | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release