5NW-47283-36418
2 vaccinations
5 coded responses
10 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 191 / PA
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-03-18
Dose 1 — Moderna
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2021-03-21
Registered in v-safe
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2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Not at the presentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: Good · Joint pains, Muscle or body achesFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
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2021-04-15
Dose 2 — Moderna
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2021-04-24
Survey response — day 7, dose 2MedDRA: Dysphonia, Eye allergy, Respiratory disorder — Feeling: Fair · Site: Pain, Itching · Abdominal pain · Be unable to do your normal daily activitiesFree text: Upper respiratory issues .,which l usually experience my eyes are experiencing allergy symptoms and l am always clearing my throat and l can hardly talk..so for maybe a weekend maybe a have a lot of phlegm is ..come from my throat...a.once it was dryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — day 28, dose 2MedDRA: Influenza like illness — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I feel flu likeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-05-27
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2021-07-15
Survey response — 3 months, dose 2MedDRA: Head discomfort, Muscular weakness, Nasal congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My head is always full(heavy)also 1 of my nostrils stays clogged..my arms are still lethargic when attempting to raise them upMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Not at the present
Release 6 — day 7, dose 1
Systemic reaction (other): No
Release 7 — day 7, dose 2
Systemic reaction (other): Upper respiratory issues .,which l usually experience my eyes are experiencing allergy symptoms and l am always clearing my throat and l can hardly talk..so for maybe a weekend maybe a have a lot of phlegm is ..come from my throat...a.once it was dry
Release 8 — day 28, dose 2
Symptoms: I feel flu like
Release 9 — 3 months, dose 2
Symptoms: My head is always full(heavy)also 1 of my nostrils stays clogged..my arms are still lethargic when attempting to raise them up
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 | Head discomfort | ✓ | · | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SRO | Dysphonia | ✓ | ✓ | ✓ |
| SRO | Eye allergy | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Respiratory disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release