5T9-26491-17878
2 vaccinations
6 coded responses
8 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 748 / OK
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-04-09
Dose 2 — Moderna
-
2021-04-10
Registered in v-safe
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Taste disorder — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Nothing tastes rightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Ive had and still have the most severe painful headache Ive ever had in my life!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-04-24
Survey response — day 14, dose 2MedDRA: Cough, Headache, Lung disorder, Lymph node pain, Lymphadenopathy, Nasal congestion, Oropharyngeal pain, Pharyngeal swelling, Rhinorrhoea, Secretion discharge, Unevaluable event — Feeling: Poor · 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: Symptoms: Runny nose cant breathe out of, back of head, neck, entire face full of mucus, sore throat, burning in my lungs, dry hacking cough, worst headache of my life got worse, pain and swelling in lymph nodes underarms, throat, · Healthcare visit (other): Made appointment to go see my general practitioner, Im supposed to get 1st canceled appt...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-02
Survey response — day 21, dose 2MedDRA: Chest pain, Productive cough — 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: Coughing up green phlegm and burning in chest.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-10
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2021-05-22
Survey response — day 42, dose 2MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea severeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-09
Survey response — 3 months, dose 2MedDRA: Pre-existing disease, Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Bad sinus infection, Diabetic Ketoacidosis, Broken toothMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-09
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Nothing tastes right
Systemic reaction (other): Ive had and still have the most severe painful headache Ive ever had in my life!
Release 7 — day 14, dose 2
Symptoms: Runny nose cant breathe out of, back of head, neck, entire face full of mucus, sore throat, burning in my lungs, dry hacking cough, worst headache of my life got worse, pain and swelling in lymph nodes underarms, throat,
Healthcare visit (other): Made appointment to go see my general practitioner, Im supposed to get 1st canceled appt...
Release 8 — day 21, dose 2
Symptoms: Coughing up green phlegm and burning in chest.
Release 8 — day 42, dose 2
Symptoms: Diarrhea severe
Release 9 — 3 months, dose 2
Symptoms: Bad sinus infection, Diabetic Ketoacidosis, Broken tooth
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lung disorder | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Secretion discharge | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release