4X6-28035-11103
4 vaccinations
7 coded responses
30 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 813 / CO
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
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2021-03-09
Dose 1 — Moderna
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2021-03-09
Survey response — day 0, dose 1MedDRA: Injection site bruising, Injection site pain — Feeling: GoodFree text: So far just a small bruise and a little tender at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal discomfort, Productive cough — Feeling: Good · Site: Pain · HeadacheFree text: I woke up feeling like I had a lot of phlegm in my throat, and throughout the day I have felt like there is something stuck in my throat, but not in a painful way.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Runny nose, sneezing, sinus pressure with a headache, slight scratchy/sore throatAdult check-in · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Dry throat, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fatigue or tirednessFree text: Sore/dry throat, nasal congestion and runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Pharyngeal erythema — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Slight sore throat. Red veins/redness visible in the back of throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Dry throat — Feeling: GoodFree text: Dry throat, mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — day 7, dose 1MedDRA: Dry throat, Throat irritation — Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dry/scratchy throat, mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-30
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2021-04-06
Dose 2 — Moderna
- 2021-04-06
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-12
- 2021-05-18
- 2021-07-06
- 2021-10-05
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2021-12-03
Dose 3 — Moderna
- 2022-04-06
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2022-10-26
Dose 4 — ModernaCo-administered: Flu
- 2022-11-03
- 2022-11-09
- 2022-11-18
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2022-11-23
Survey response — day 28, dose 4MedDRA: Cough, Headache, Lethargy — Feeling: FairFree text: Cough, headache, lethargicMedDRA releases: 2024-11 · check-in free text available
- 2022-11-30
- 2022-12-09
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-10-26 | Moderna | Flu |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): So far just a small bruise and a little tender at the injection site.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I woke up feeling like I had a lot of phlegm in my throat, and throughout the day I have felt like there is something stuck in my throat, but not in a painful way.
Systemic reaction (other): Sore/dry throat, nasal congestion and runny nose
Systemic reaction (other): Slight sore throat. Red veins/redness visible in the back of throat
Systemic reaction (other): Dry throat, mild
Release 5 — day 7, dose 1
Systemic reaction (other): Dry/scratchy throat, mild
Release 12 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose, sneezing, sinus pressure with a headache, slight scratchy/sore throat
Release 12 — day 28, dose 4
Symptoms: Cough, headache, lethargic
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 | Headache | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SRO | Dry throat | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pharyngeal erythema | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release