6N9-28030-41777
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 021 / MA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
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2021-01-14
Dose 1 — Moderna
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2021-01-14
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Site: PainFree text: Mild lightheadedness within first hour of receiving first dose. Since resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-18
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2021-01-21
Survey response — day 7, dose 1MedDRA: Dizziness, Night sweats — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Occasional night sweats the past few nights. Some mild lightheadedness here and thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — day 14, dose 1MedDRA: Dizziness, Fatigue, Nausea — Feeling: FairFree text: Increased fatigue and mild nausea. Mild boughts of lightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 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: Swollen tongue, Taste disorder — Feeling: Good · Site: PainFree text: Cotton mouth feel, almost like tongue was swollen within first hour. Since resolvedMedDRA 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: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-02-13
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
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2021-03-26
Survey response — day 42, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Mild soreness in left arm near original injection site. Does not interrupt daily function.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2022-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Mild lightheadedness within first hour of receiving first dose. Since resolved
Release 2 — day 7, dose 1
Systemic reaction (other): Occasional night sweats the past few nights. Some mild lightheadedness here and there
Release 3 — day 14, dose 1
Symptoms: Increased fatigue and mild nausea. Mild boughts of lightheadedness
Release 4 — day 0, dose 2
Systemic reaction (other): Cotton mouth feel, almost like tongue was swollen within first hour. Since resolved
Release 6 — day 42, dose 2
Symptoms: Mild soreness in left arm near original injection site. Does not interrupt daily function.
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release