6U7-15639-80107
5 vaccinations
4 coded responses
62 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 347 / FL
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
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2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · ChillsAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
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2021-03-24
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: My arm is itchy at the injection site. Nothing bad but its different.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — day 21, dose 1MedDRA: Diarrhoea, Gastroenteritis viral, Pain, Pyrexia, Self-medication, Sleep disorder, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I dont think this is related to the vaccine, but I have a stomach bug. Came out of nowhere in the middle of the night. Fever 101.4 but comes down w Tylenol. Vomiting and watery diarrhea plus body aches. No coughing or shortness of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-07
- 2021-10-06
-
2021-10-25
Dose 3 — Moderna
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Pyrexia — Feeling: GoodFree text: I had a fever and chills for about 6 hours about 12 hours after I get the shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-24
-
2022-04-25
Dose 4 — Moderna
- 2022-04-25
-
2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
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2022-05-23
Survey response — day 28, dose 4MedDRA: Cough, Headache, Nasal congestion, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, headache, slight fever, stuffy nose, slight cough. I took an at home Covid test that was negativeMedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
- 2022-06-06
- 2022-07-25
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2022-09-16
Dose 5 — Moderna
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2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2022-09-19
- 2022-09-20
-
2022-09-21
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fever · Fatigue or tiredness, NauseaAdult check-in
- 2022-09-22
- 2022-09-23
- 2022-09-30
- 2022-10-08
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-09-16 | Moderna | No |
Free text
Release 6 — day 14, dose 1
Symptoms: My arm is itchy at the injection site. Nothing bad but its different.
Release 6 — day 21, dose 1
Symptoms: I dont think this is related to the vaccine, but I have a stomach bug. Came out of nowhere in the middle of the night. Fever 101.4 but comes down w Tylenol. Vomiting and watery diarrhea plus body aches. No coughing or shortness of breath.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had a fever and chills for about 6 hours about 12 hours after I get the shot.
Release 11 — day 28, dose 4
Symptoms: Sore throat, headache, slight fever, stuffy nose, slight cough. I took an at home Covid test that was negative
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 | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release