6EL-31340-54158
2 vaccinations
7 coded responses
22 check-ins
7 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 61-65
- ZIP prefix
- 975 / OR
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-01-14
Registered in v-safe
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2021-01-14
Dose 1 — Moderna
- 2021-01-14
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Feeling abnormal, Headache, Nasopharyngitis, Oropharyngeal pain, Throat irritation — Feeling: Good · Site: PainFree text: Yesterday evening about twenty minutes of feeling odd. Slight headache, slight throat itchiness, slight feeling of a sore throat or cold coming on. Went away after twenty minutes. Onset sudden. Fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Migraine — Feeling: Good · Headache, NauseaFree text: Believe I had a migraine not associated with shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-29
- 2021-02-04
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2021-02-11
Dose 2 — Moderna
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2021-02-11
Survey response — day 0, dose 2MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: GoodFree text: Odd taste in back of tongue right after shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Nausea · Be unable to do your normal daily activitiesFree text: Overnight night sweats through two changes of pyjamasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Night sweats — Feeling: Good · FeverFree text: Fever was actually night sweats. Also this morning had a ten minute episode of feeling lightheaded and dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: GoodFree text: Night sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-07
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2021-03-11
Survey response — day 28, dose 2MedDRA: Feeling hot, Sensory disturbance — Feeling: GoodFree text: Transient feeling of fever and weird body sensation lasting 20 minsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday evening about twenty minutes of feeling odd. Slight headache, slight throat itchiness, slight feeling of a sore throat or cold coming on. Went away after twenty minutes. Onset sudden. Fatigue.
Systemic reaction (other): Believe I had a migraine not associated with shot
Release 4 — day 0, dose 2
Systemic reaction (other): Odd taste in back of tongue right after shot
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Overnight night sweats through two changes of pyjamas
Systemic reaction (other): Fever was actually night sweats. Also this morning had a ten minute episode of feeling lightheaded and dizzy
Systemic reaction (other): Night sweats
Release 5 — day 28, dose 2
Symptoms: Transient feeling of fever and weird body sensation lasting 20 mins
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 | Feeling hot | ✓ | ✓ | ✓ |
| SD | Sensory disturbance | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | · | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release