5K9-25036-29336
2 vaccinations
12 coded responses
17 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 469 / IN
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-13
Dose 1 — Moderna
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2021-02-15
Registered in v-safe
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Bronchitis flare upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Bronchitis flare up is reduced from yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tirednessFree text: Chronic bronchitis flare upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: Chronic bronchitis flare upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Bronchitis chronic, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Chronic bronchitis flare upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Lymph glands in neck a bit swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — day 14, dose 1MedDRA: Condition aggravated, Pre-existing disease, Vaccination site swelling — Feeling: GoodFree text: General immune flare-up, including old brown recluse bite from 2 years ago. Swelling at vaccine site, too. Puffed up for a few days on 8th day after vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
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2021-03-13
Dose 2 — Moderna
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I think I have a sinus coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Stuffy nose... I think I have a sinus coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis — Feeling: Poor · Fatigue or tirednessFree text: I think I have a sinus coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — day 7, dose 2MedDRA: Lower respiratory tract infection, Nasopharyngitis — Feeling: Fair · Fatigue or tirednessFree text: I think I have a sinus cold that has moved into my chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-04-05
- 2021-09-11
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2022-03-13
Survey response — 12 months, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
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2022-03-13
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Bronchitis flare up
Systemic reaction (other): Bronchitis flare up is reduced from yesterday
Systemic reaction (other): Chronic bronchitis flare up
Systemic reaction (other): Chronic bronchitis flare up
Systemic reaction (other): Chronic bronchitis flare up
Release 4 — day 7, dose 1
Systemic reaction (other): Lymph glands in neck a bit swollen
Release 4 — day 14, dose 1
Symptoms: General immune flare-up, including old brown recluse bite from 2 years ago. Swelling at vaccine site, too. Puffed up for a few days on 8th day after vaccination.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I think I have a sinus cold
Systemic reaction (other): Stuffy nose... I think I have a sinus cold
Systemic reaction (other): I think I have a sinus cold
Release 6 — day 7, dose 2
Systemic reaction (other): I think I have a sinus cold that has moved into my chest
Release 11 — 12 months, dose 2
Symptoms: Fatigue
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vaccination site swelling | ✓ | ✓ | ✓ |
| SRO | Bronchitis chronic | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Lower respiratory tract infection | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release