6SP-15392-94787
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 748 / OK
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2020-12-29
Registered in v-safe
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2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Ear discomfort — Feeling: Good · Site: Pain · Chills, Muscle or body achesFree text: Yesterday evening it felt like my left ear was clogged and needed to pop like after flying. It was the same side that I had shot on. I know others who had vaccine who also experienced the same thing. Is that a normal side effect?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Feeling of body temperature change — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Hot and cold but no fever, shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
- 2021-01-11
- 2021-01-18
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2021-01-25
Dose 2 — Moderna
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2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pyrexia, Sinus disorder — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I had excruciating pain In my head yesterday with high fever of 100.1. Not having as much problems today except for sinus issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-01
- 2021-02-09
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday evening it felt like my left ear was clogged and needed to pop like after flying. It was the same side that I had shot on. I know others who had vaccine who also experienced the same thing. Is that a normal side effect?
Systemic reaction (other): Hot and cold but no fever, shortness of breath
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): I had excruciating pain In my head yesterday with high fever of 100.1. Not having as much problems today except for sinus issues.
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 |
|---|---|---|---|---|
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Feeling of body temperature change | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release