5JV-34005-33521
1 vaccination
4 coded responses
10 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 996 / AK
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
- 2021-01-19
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2021-01-20
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Dental paraesthesia, Nasopharyngitis — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Chest dullness/heaviness, lower teeth tingeling- feeling like I have a cold without actually having a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Dental paraesthesia, Nasopharyngitis — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Tingling in lower teeth/chin, chest dullness/heaviness/discomfort. Feeling like I have a cold, but not actually having a cold and no cough. Very uncomfortable and no improvement the past three days with OTCsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Dental paraesthesia, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Chest discomfort/dullness, tingling Front, lower teeth. Feeling like I have a cold or pneumonia without actually having a cough. I received a negative covid test today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — day 7, dose 1MedDRA: Chest discomfort, Dental paraesthesia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Tingling in bottom front teeth and chest dullness/tightness, feeling like I have pneumonia or a cold, although no coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Chest dullness/heaviness, lower teeth tingeling- feeling like I have a cold without actually having a cold.
Systemic reaction (other): Tingling in lower teeth/chin, chest dullness/heaviness/discomfort. Feeling like I have a cold, but not actually having a cold and no cough. Very uncomfortable and no improvement the past three days with OTCs
Systemic reaction (other): Chest discomfort/dullness, tingling Front, lower teeth. Feeling like I have a cold or pneumonia without actually having a cough. I received a negative covid test today.
Release 2 — day 7, dose 1
Systemic reaction (other): Tingling in bottom front teeth and chest dullness/tightness, feeling like I have pneumonia or a cold, although no cough
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 |
|---|---|---|---|---|
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dental paraesthesia | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release