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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

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-01-22
    Registered in v-safe
  3. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: Fatigue, Palpitations — Feeling: Good · Site: Pain
    Free 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
  4. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-17
    Dose 2 — Moderna
  6. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  7. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Cough — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches
    Free text: Developing a dry cough. Armpit is very sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Increased appetite — Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  9. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Loss of appetite moderate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Good · Fatigue or tiredness
    Free text: Still slight appetite loss.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  12. 2021-03-03
    Survey response — day 14, dose 2
    MedDRA: Asthma, Chest discomfort, Office visit, Pre-existing disease — Feeling: Fair · Be unable to work
    Free 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
  13. 2021-03-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-18
    Survey response — 6 months, dose 2
    MedDRA: Cough, Fatigue, Foreign body sensation in eyes, Nasopharyngitis, Sinus congestion — Feeling: Good
    Free 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
  19. 2022-02-19
    Survey response — 12 months, dose 2
    MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school
    Free text: Sore throat, super congestion, mild cough.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-17Moderna

Free text

Release 2 — day 7, dose 1

2021-01-22

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

2021-02-18

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.

2021-02-19

Systemic reaction (other): Developing a dry cough. Armpit is very sore.

2021-02-21

Systemic reaction (other): Finally have my appetite back. Forgot to report I wasn't hungry.

2021-02-22

Systemic reaction (other): Loss of appetite moderate

2021-02-23

Systemic reaction (other): Still slight appetite loss.

Release 5 — day 14, dose 2

2021-03-03

Symptoms: Tightness in chest. Saw respiratory therapist. Vaccination exacerbated asthma. Put on prednisone and albuterol.

Release 9 — 6 months, dose 2

2021-08-18

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

2022-02-19

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

FieldPreferred term2021-092023-042024-11
SDAsthma ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDCough ✓ · ✓
SDFatigue ✓ · ✓
SDForeign body sensation in eyes ✓ · ✓
SDNasopharyngitis ✓ · ✓
SDOffice visit ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDSinus congestion ✓ · ✓
SROAxillary pain ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROEructation ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROIncreased appetite ○ ✓ ○
SROPalpitations ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release