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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

  1. 2021-03-12
    Dose 1 — Moderna
  2. 2021-04-09
    Dose 2 — Moderna
  3. 2021-04-10
    Registered in v-safe
  4. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Nothing tastes right
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  6. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: 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 activities
    Adult check-in
  7. 2021-04-24
    Survey response — day 14, dose 2
    MedDRA: 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 visit
    Free 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
  8. 2021-04-24
    Report sent to call center — day 14, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-05-02
    Survey response — day 21, dose 2
    MedDRA: 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 visit
    Free text: Coughing up green phlegm and burning in chest.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-02
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-05-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-22
    Survey response — day 42, dose 2
    MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Diarrhea severe
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-07-09
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free text: Bad sinus infection, Diabetic Ketoacidosis, Broken tooth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-09
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  15. 2021-07-26

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna
22021-04-09Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Nothing tastes right

2021-04-15

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

2021-04-24

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

2021-05-02

Symptoms: Coughing up green phlegm and burning in chest.

Release 8 — day 42, dose 2

2021-05-22

Symptoms: Diarrhea severe

Release 9 — 3 months, dose 2

2021-07-09

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDLung disorder ✓ ✓ ✓
SDLymph node pain ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPharyngeal swelling ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDProductive cough ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSecretion discharge ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROTaste disorder ✓ ✓ ✓

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