5FW-23480-66400
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 847 / UT
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
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2021-03-18
Dose 1 — Moderna
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Self-medication — Feeling: GoodFree text: I did have a headache last night (which was the day of my vaccine). Excedrine took it awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Injection site has been tender for the last two days but not painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
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2021-04-15
Dose 2 — Moderna
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2021-04-15
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Headache — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Kind of a brain fog and mild headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: All my Mild symptoms disappeared after 40 hours or so.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-24
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2021-05-01
Survey response — day 14, dose 2MedDRA: Chills, Fatigue — Feeling: GoodFree text: On April 28, 2021, the 13th day after my 2nd COVID-19 vaccine, during the evening and throughout the night I experienced chills and an overall run down feeling like I was coming down with something. No fever though. I felt better in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-29
- 2021-07-17
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2021-10-14
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, Cough, Malaise, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had COVID-19 symptoms in mid Sept. Sore throat, cough, congestion and loss of taste and smell. I had a COVID-19 test done and it was negative.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I did have a headache last night (which was the day of my vaccine). Excedrine took it away
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site has been tender for the last two days but not painful.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Kind of a brain fog and mild headache.
Systemic reaction (other): All my Mild symptoms disappeared after 40 hours or so.
Release 8 — day 14, dose 2
Symptoms: On April 28, 2021, the 13th day after my 2nd COVID-19 vaccine, during the evening and throughout the night I experienced chills and an overall run down feeling like I was coming down with something. No fever though. I felt better in the morning.
Release 10 — 6 months, dose 2
Symptoms: I had COVID-19 symptoms in mid Sept. Sore throat, cough, congestion and loss of taste and smell. I had a COVID-19 test done and it was negative.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release