5M7-30913-63127
2 vaccinations
6 coded responses
12 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 389 / MS
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-16
Dose 2 — Moderna
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2021-04-18
Registered in v-safe
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Middle insomnia, Night sweats — Feeling: Fair · Diarrhea · Be unable to do your normal daily activitiesFree text: For the past 3 night have woken with night sweats.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: Good · Fatigue or tirednessFree text: Still having night sweats but not as severeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — day 7, dose 2MedDRA: Night sweats — Feeling: Good · Fatigue or tirednessFree text: Still having night sweats they are not as severed as last week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 14, dose 2MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had some stomach issues I think it was a virus for three days just diarrhea, finally. Eating food agaiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-14
- 2021-05-24
- 2021-05-28
- 2021-07-16
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2021-10-15
Survey response — 6 months, dose 2MedDRA: Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had an UTI infection antibiotics for 10 daysMedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-20
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2022-04-16
Survey response — 12 months, dose 2MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe allergies worse than normal had a round of antibiotics and allergy meds some better but still having issuesMedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): For the past 3 night have woken with night sweats.
Systemic reaction (other): Still having night sweats but not as severe
Release 8 — day 7, dose 2
Systemic reaction (other): Still having night sweats they are not as severed as last week.
Release 8 — day 14, dose 2
Symptoms: Had some stomach issues I think it was a virus for three days just diarrhea, finally. Eating food agai
Release 10 — 6 months, dose 2
Symptoms: Had an UTI infection antibiotics for 10 days
Release 11 — 12 months, dose 2
Symptoms: Severe allergies worse than normal had a round of antibiotics and allergy meds some better but still having issues
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release