6EY-12221-76014
3 vaccinations
12 coded responses
27 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 188 / PA
- Registered
- 2021-08-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-08-09
Registered in v-safe
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2021-08-09
Dose 1 — Moderna
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2021-08-09
Survey response — day 0, dose 1MedDRA: Cough — Feeling: Fair · Site: PainFree text: CoughMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · NauseaAdult check-in
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2021-08-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-08-12
- 2021-08-13
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2021-08-14
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Good · HeadacheFree text: CoughMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-16
- 2021-08-23
- 2021-08-30
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2021-09-06
Dose 2 — Moderna
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2021-09-06
Survey response — day 0, dose 2MedDRA: Axillary pain, Breast pain, Chest pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Chest pain in L breast and L armpitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-07
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Feeling hot, Tachycardia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Chest pain , tachycardia, hot feetMedDRA releases: 2024-11 · check-in free text available
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2021-09-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
- 2021-09-09
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2021-09-10
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Tinnitus — Feeling: Fair · Headache, Muscle or body achesFree text: Chest pain (aches) left side (received injection on left arm), tinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-09-11
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Tinnitus — Feeling: GoodFree text: Tinnitus, coughMedDRA releases: 2024-11 · check-in free text available
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2021-09-12
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-09-15
Survey response — day 7, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
- 2021-09-20
- 2021-09-27
- 2021-10-04
- 2021-10-11
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2021-10-18
Survey response — day 42, dose 2MedDRA: Chest pain, Dyspnoea, Exercise tolerance decreased, Oropharyngeal pain, Tinnitus — Feeling: FairFree text: Symptoms come and go but remain persistent: sore throat, increase in tinnitus (right ear), dull and/or sharp chest pains (left side), shortness of breath while resting & during exercise. Unable to workout like before.MedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — 3 months, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throat - chronicMedDRA releases: 2024-11 · check-in free text available
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2022-03-11
Dose 3 — Moderna
- 2022-03-12
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2022-03-14
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · HeadacheFree text: Swollen Lymph nodes in armpit on same arm with injection site. Swelling 3x days nowMedDRA releases: 2024-11 · check-in free text available
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2022-03-16
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Headache — Feeling: Fair · HeadacheFree text: Headache x5 days s/p shot, Dizziness.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-09 | Moderna | No |
| 2 | 2021-09-06 | Moderna | No |
| 3 | 2022-03-11 | Moderna | No |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Cough
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Cough
Release 9 — day 0, dose 2
Systemic reaction (other): Chest pain in L breast and L armpit
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Chest pain , tachycardia, hot feet
Systemic reaction (other): Chest pain (aches) left side (received injection on left arm), tinnitus
Systemic reaction (other): Tinnitus, cough
Systemic reaction (other): Tinnitus
Release 9 — day 7, dose 2
Systemic reaction (other): Tinnitus
Release 10 — day 42, dose 2
Symptoms: Symptoms come and go but remain persistent: sore throat, increase in tinnitus (right ear), dull and/or sharp chest pains (left side), shortness of breath while resting & during exercise. Unable to workout like before.
Release 10 — 3 months, dose 2
Symptoms: Sore throat - chronic
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen Lymph nodes in armpit on same arm with injection site. Swelling 3x days now
Systemic reaction (other): Headache x5 days s/p shot, Dizziness.
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 | Chest pain | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Exercise tolerance decreased | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Axillary pain | ✓ | · | ✓ |
| SRO | Breast pain | ✓ | · | ✓ |
| SRO | Chest pain | ✓ | · | ✓ |
| SRO | Cough | ✓ | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Tachycardia | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release