5NV-24851-33134
4 vaccinations
7 coded responses
31 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 606 / IL
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
T29-27918-59388
Child or adolescent in my care · Male · 2022-10-19
Timeline
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2021-02-06
Registered in v-safe
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2021-02-06
Dose 1 — Moderna
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2021-02-06
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, DiarrheaAdult check-in
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2021-02-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Fatigue or tiredness, DiarrheaAdult check-in
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2021-02-13
Survey response — day 7, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: Redness · Fatigue or tirednessFree text: Bruising still on injection site, week laterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-27
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2021-03-06
Dose 2 — Moderna
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-11
- 2021-03-12
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2021-03-15
Health check-in — day 7, dose 2Feeling: Fair · Headache, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-22
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
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2021-06-05
Survey response — 3 months, dose 2MedDRA: Cough, Dyspnoea — Feeling: FairFree text: Slight dry cough that occasionally shows up. Difficulty breathing while runningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-04
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2021-11-20
Dose 3 — Moderna
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2022-03-06
Survey response — 12 months, dose 2MedDRA: Oedema, Pre-existing disease, Pregnancy — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pregnancy edema and type 2 diabetesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-21
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2022-10-07
Dose 4 — ModernaCo-administered: Flu
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2022-10-19
Health check-in — day 7, dose 4Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2022-10-21
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2022-10-28
Survey response — day 21, dose 4MedDRA: Fatigue, Menstrual disorder — Feeling: PoorFree text: Extreme fatigue and abnormal menstrual cycleMedDRA releases: 2024-11 · check-in free text available
- 2022-11-06
- 2022-11-13
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2022-11-18
Survey response — day 42, dose 4MedDRA: Fatigue, Pruritus, Somnolence — Feeling: FairFree text: Tired, sleepy, itchyMedDRA releases: 2024-11 · check-in free text available
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2023-01-08
Survey response — 3 months, dose 4MedDRA: Dry throat, Nasal congestion, Productive cough — Feeling: FairMedDRA releases: 2024-11
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2023-04-07
Survey response — 6 months, dose 4MedDRA: COVID-19, Cough, Pneumonia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
| 4 | 2022-10-07 | Moderna | Flu |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Bruising still on injection site, week later
Release 8 — 3 months, dose 2
Symptoms: Slight dry cough that occasionally shows up. Difficulty breathing while running
Release 11 — 12 months, dose 2
Symptoms: Pregnancy edema and type 2 diabetes
Release 12 — day 21, dose 4
Symptoms: Extreme fatigue and abnormal menstrual cycle
Release 12 — day 42, dose 4
Symptoms: Tired, sleepy, itchy
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 | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dry throat | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Menstrual disorder | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oedema | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release