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59N-22831-16880

2 vaccinations 6 coded responses 19 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
972 / OR
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-05
    Dose 1 — Moderna
  2. 2021-01-14
    Registered in v-safe
  3. 2021-01-14
    Survey response — day 7, dose 1
    MedDRA: Headache, Lymphadenopathy, Neck pain — Feeling: Good · Site: Pain, Swelling
    Free text: This is filled out 9 days post vaccination. I had a headache ,neck ache and swollen throat glands 2 days post vaccination. I did miss 1 day of work.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-19
    Survey response — day 14, dose 1
    MedDRA: Atrial fibrillation, Swelling — Feeling: Fair · Be unable to work
    Free text: I awoke in a fib yesterday and today. I have a feeling of fullness in my neck.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-02
    Dose 2 — Moderna
  7. 2021-02-02
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  8. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  9. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  10. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  11. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Atrial fibrillation — Feeling: Fair · Site: Pain · Be unable to work
    Free text: Just had 90 minutes of a fib, very fast rate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-02-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-16
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain, Back pain, Fatigue, Nausea — Feeling: Fair · Be unable to work
    Free text: Nausea, abdominal pain, low back pain, fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-09
    Survey response — day 35, dose 2
    MedDRA: Atrial fibrillation — Feeling: Fair · Be unable to work
    Free text: A fib
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-04
    Survey response — 3 months, dose 2
    MedDRA: Hot flush — Feeling: Good
    Free text: I am having hot flashes again. I haven't had them for 2 years, but they have started back up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-08-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-02-02
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-02-02Moderna

Free text

Release 2 — day 7, dose 1

2021-01-14

Systemic reaction (other): This is filled out 9 days post vaccination. I had a headache ,neck ache and swollen throat glands 2 days post vaccination. I did miss 1 day of work.

Release 2 — day 14, dose 1

2021-01-19

Symptoms: I awoke in a fib yesterday and today. I have a feeling of fullness in my neck.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Just had 90 minutes of a fib, very fast rate

Release 4 — day 14, dose 2

2021-02-16

Symptoms: Nausea, abdominal pain, low back pain, fatigue.

Release 5 — day 35, dose 2

2021-03-09

Symptoms: A fib

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: I am having hot flashes again. I haven't had them for 2 years, but they have started back 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
SDAbdominal pain ✓ ✓ ✓
SDAtrial fibrillation ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHot flush ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDSwelling ✓ · ✓
SROAtrial fibrillation ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓

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