5JK-20917-26481
2 vaccinations
7 coded responses
21 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 897 / NV
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
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2021-03-19
Dose 1 — Moderna
- 2021-03-19
- 2021-03-20
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Good · Muscle or body achesFree text: Dry cough first thing this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
- 2021-03-25
-
2021-03-26
Health check-in — day 7, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-02
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2021-04-09
Survey response — day 21, dose 1MedDRA: Cough, Secretion discharge — Feeling: FairFree text: I have a dry cough and my mucus seems thick. It could be allergies and maybe has nothing to do with COVID.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Dose 2 — Moderna
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Dizziness, Fatigue, Headache, Hot flush, Hyperhidrosis, Hypersomnia, Pain — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I didnt check in the last time because I was fatigued and slept for 2 days almost straight through. The couple of hours I was up was full of hot flashes, sweats, dizziness and headache and body aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-10
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2021-05-17
Survey response — day 28, dose 2MedDRA: Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nausea and throwing up for a day or two per weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Survey response — day 35, dose 2MedDRA: Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I seem to get very nauseous (to the point of vomiting) at different times of the day, for no apparent reason. This happens whether I have eaten or not eaten. I am 57 years old and had a hysterectomy at 29 years old so I know it is not pregnancy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-16
Survey response — 3 months, dose 2MedDRA: Ageusia, Decreased appetite, Diarrhoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: For about a week I have had diarrhea and no appetite and am tired. I assumed it was due to heat. However, on 7/13/21 I started becoming extremely tired and exhausted..like I was on sleepy drugs. Yesterday, 7/15, I lost taste. I got tested at CVS too.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-22
Survey response — 6 months, dose 2MedDRA: Asthma, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have had a few severe asthma attacks where I had to use the inhaler more than once. One attack almost landed me in the ER. Previously I had only had about 5 medium attacks in an 11 year time span.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Dry cough first thing this morning
Release 7 — day 21, dose 1
Symptoms: I have a dry cough and my mucus seems thick. It could be allergies and maybe has nothing to do with COVID.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I didnt check in the last time because I was fatigued and slept for 2 days almost straight through. The couple of hours I was up was full of hot flashes, sweats, dizziness and headache and body aches.
Release 8 — day 28, dose 2
Symptoms: Nausea and throwing up for a day or two per week
Release 8 — day 35, dose 2
Symptoms: I seem to get very nauseous (to the point of vomiting) at different times of the day, for no apparent reason. This happens whether I have eaten or not eaten. I am 57 years old and had a hysterectomy at 29 years old so I know it is not pregnancy.
Release 9 — 3 months, dose 2
Symptoms: For about a week I have had diarrhea and no appetite and am tired. I assumed it was due to heat. However, on 7/13/21 I started becoming extremely tired and exhausted..like I was on sleepy drugs. Yesterday, 7/15, I lost taste. I got tested at CVS too. cut off by CDC
Release 10 — 6 months, dose 2
Symptoms: I have had a few severe asthma attacks where I had to use the inhaler more than once. One attack almost landed me in the ER. Previously I had only had about 5 medium attacks in an 11 year time span.
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 | Asthma | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Secretion discharge | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release