5MN-32155-16903
2 vaccinations
9 coded responses
16 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 031 / NH
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
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2021-01-22
Registered in v-safe
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2021-01-22
Survey response — day 7, dose 1MedDRA: Fatigue, Palpitations — Feeling: Good · Site: PainFree text: I'm fine today but after my vaccination I was very tired and my heart kept racing like I drank coffee.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
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2021-02-17
Dose 2 — Moderna
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Eructation, Flatulence, Swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Swelling, gaseous burping and farting like when I know I'm getting sick. It's a unique to me thing that I know.MedDRA 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 2MedDRA: Axillary pain, Cough — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body achesFree text: Developing a dry cough. Armpit is very sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Increased appetite — Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Finally have my appetite back. Forgot to report I wasn't hungry.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Loss of appetite moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Fatigue or tirednessFree text: Still slight appetite loss.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
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2021-03-03
Survey response — day 14, dose 2MedDRA: Asthma, Chest discomfort, Office visit, Pre-existing disease — Feeling: Fair · Be unable to workFree text: Tightness in chest. Saw respiratory therapist. Vaccination exacerbated asthma. Put on prednisone and albuterol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
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2021-08-18
Survey response — 6 months, dose 2MedDRA: Cough, Fatigue, Foreign body sensation in eyes, Nasopharyngitis, Sinus congestion — Feeling: GoodFree text: I had a pretty bad headcold. Sinuses super stuffed and gritty feeling. Slight cough at the end that went away. Very tired. Lasted about 2 weeks.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-19
Survey response — 12 months, dose 2MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolFree text: Sore throat, super congestion, mild cough.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): I'm fine today but after my vaccination I was very tired and my heart kept racing like I drank coffee.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling, gaseous burping and farting like when I know I'm getting sick. It's a unique to me thing that I know.
Systemic reaction (other): Developing a dry cough. Armpit is very sore.
Systemic reaction (other): Finally have my appetite back. Forgot to report I wasn't hungry.
Systemic reaction (other): Loss of appetite moderate
Systemic reaction (other): Still slight appetite loss.
Release 5 — day 14, dose 2
Symptoms: Tightness in chest. Saw respiratory therapist. Vaccination exacerbated asthma. Put on prednisone and albuterol.
Release 9 — 6 months, dose 2
Symptoms: I had a pretty bad headcold. Sinuses super stuffed and gritty feeling. Slight cough at the end that went away. Very tired. Lasted about 2 weeks.
Release 11 — 12 months, dose 2
Symptoms: Sore throat, super congestion, mild 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 |
|---|---|---|---|---|
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Foreign body sensation in eyes | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | ✓ | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Eructation | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Increased appetite | ○ | ✓ | ○ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release