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6TL-36680-32740

1 vaccination 5 coded responses 13 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
342 / FL
Registered
2021-03-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-29
    Dose 1 — Moderna
  2. 2021-03-30
    Registered in v-safe
  3. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blepharospasm, Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: mild, momentary lightheadedness and eye vibrating
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-26
    Survey response — day 28, dose 1
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: I feel like I'm fighting off a cold.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-05
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-12
    Survey response — day 42, dose 1
    MedDRA: Headache, Self-medication, Sleep disorder, Stress — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headache. Aspirin doesn't help. Not digesting food very well at night which interferes with sleep.I'm under an inordinate amount of stress.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-09-29
    Survey response — 6 months, dose 1
    MedDRA: Pain in extremity, Rash — Feeling: Good
    Free text: My legs and feet hurt often.I get a small weird recurring rash on one cheek.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-03-29
    Survey response — 12 months, dose 1
    MedDRA: Headache, Nasopharyngitis, Sneezing, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities
    Free text: A head cold with a long build up over weeks, then lasted 5 days. Lots of sneezing & mask drip, headache every day upon waking that faded somewhat during the day.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-29Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): mild, momentary lightheadedness and eye vibrating

Release 8 — day 28, dose 1

2021-04-26

Symptoms: I feel like I'm fighting off a cold.

Release 8 — day 42, dose 1

2021-05-12

Symptoms: Headache. Aspirin doesn't help. Not digesting food very well at night which interferes with sleep.I'm under an inordinate amount of stress.

Release 9 — 6 months, dose 1

2021-09-29

Symptoms: My legs and feet hurt often.I get a small weird recurring rash on one cheek.

Release 11 — 12 months, dose 1

2022-03-29

Symptoms: A head cold with a long build up over weeks, then lasted 5 days. Lots of sneezing & mask drip, headache every day upon waking that faded somewhat during the day.

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
SDHeadache ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDPain in extremity · · ✓
SDRash · · ✓
SDSelf-medication ✓ ✓ ✓
SDSleep disorder ✓ ✓ ✓
SDSneezing · · ✓
SDStress ✓ ✓ ✓
SDUpper-airway cough syndrome · · ✓
SROBlepharospasm ✓ ✓ ✓
SRODizziness ✓ ✓ ✓

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