6NQ-27940-01204
2 vaccinations
13 coded responses
25 check-ins
13 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 034 / NH
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
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2021-01-12
Dose 1 — Moderna
- 2021-01-12
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · Site: Pain · DiarrheaFree text: Diarrhea once only but normal otherwiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
- 2021-01-16
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal distension, Decreased appetite, Dry eye, Fatigue, Headache, Pain, Thirst — Feeling: Good · HeadacheFree text: Headache was last night, sharp shooting pain but lasted about ½ hour. Very thirsty too. Feel like I have dry eyes. Last night felt bloated low appetite. Today feel fine. A little tired but not fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
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2021-01-19
Survey response — day 7, dose 1MedDRA: Fatigue, Headache, Rhinorrhoea — Feeling: GoodFree text: Felt very tired in the am but better after the day went on. Small dull headache on the left fronts lobe after dinner. Occasional sniffles but nothing that lasts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
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2021-02-02
Survey response — day 21, dose 1MedDRA: Dry eye, Fatigue, Peripheral swelling, Swelling face — Feeling: GoodFree text: A bit tired and puffy face and hands and dry eyes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Dose 2 — Moderna
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Injection site pain, Insomnia — Feeling: Good · Site: Pain · Muscle or body achesFree text: Tired, I wasnt able to sleep last night because injection site very painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Dyspepsia, Eructation — Feeling: Good · Site: Pain · Muscle or body achesFree text: Ache in mid chest, indigestion, burpingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: GoodFree text: A little tired in afternoonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams, Fatigue — Feeling: GoodFree text: Tiredness, weird dreamsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
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2021-03-02
Survey response — day 21, dose 2MedDRA: Diarrhoea, Dyspepsia — Feeling: GoodFree text: Diarrhea 2 days. Indigestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
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2021-03-17
Survey response — day 35, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Occasional Runny nose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — day 42, dose 2MedDRA: Fatigue, Nasal discomfort — Feeling: GoodFree text: I have had afternoon fatigue, I nap and feel better. I also have had irritated nostrils- dry. BUt with clear drainage- feels like I need to blow my nose every hour.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — 3 months, dose 2MedDRA: Fatigue, Migraine — Feeling: GoodFree text: Some fatigue and migraine(3days)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-12
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2022-02-09
Survey response — 12 months, dose 2MedDRA: Cough, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Cough runny NoseMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Diarrhea once only but normal otherwise
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Headache was last night, sharp shooting pain but lasted about ½ hour. Very thirsty too. Feel like I have dry eyes. Last night felt bloated low appetite. Today feel fine. A little tired but not fatigue.
Release 2 — day 7, dose 1
Systemic reaction (other): Felt very tired in the am but better after the day went on. Small dull headache on the left fronts lobe after dinner. Occasional sniffles but nothing that lasts.
Release 3 — day 21, dose 1
Symptoms: A bit tired and puffy face and hands and dry eyes.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Tired, I wasnt able to sleep last night because injection site very painful
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Ache in mid chest, indigestion, burping
Systemic reaction (other): A little tired in afternoon
Systemic reaction (other): Tiredness, weird dreams
Release 4 — day 21, dose 2
Symptoms: Diarrhea 2 days. Indigestion.
Release 5 — day 35, dose 2
Symptoms: Occasional Runny nose.
Release 6 — day 42, dose 2
Symptoms: I have had afternoon fatigue, I nap and feel better. I also have had irritated nostrils- dry. BUt with clear drainage- feels like I need to blow my nose every hour.
Release 8 — 3 months, dose 2
Symptoms: Some fatigue and migraine(3days)
Release 11 — 12 months, dose 2
Symptoms: Cough runny Nose
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dry eye | ✓ | ✓ | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nasal discomfort | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Eructation | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release