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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

  1. 2020-12-28
    Dose 1 — Moderna
  2. 2020-12-29
    Registered in v-safe
  3. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear discomfort — Feeling: Good · Site: Pain · Chills, Muscle or body aches
    Free 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
  4. 2020-12-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea, Feeling of body temperature change — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Hot and cold but no fever, shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-25
    Dose 2 — Moderna
  10. 2021-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Pyrexia, Sinus disorder — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free 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
  11. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  12. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  13. 2021-02-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna
22021-01-25Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

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?

2020-12-30

Systemic reaction (other): Hot and cold but no fever, shortness of breath

Release 2 — days 1–6 daily, dose 2

2021-01-27

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

FieldPreferred term2021-092023-042024-11
SRODyspnoea ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROFeeling of body temperature change ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSinus disorder ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release