6V3-28652-72141
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 494 / MI
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-01-06
Registered in v-safe
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2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-07
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-18
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2021-01-25
Survey response — day 21, dose 1MedDRA: Chest pain, Cough, Headache, Rhinorrhoea, Throat irritation — Feeling: Fair · Be unable to workFree text: Scratchy throat runny nose coughing slight headache and as of today my chest stsryed hurting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Dose 2 — Moderna
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2021-02-01
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · Site: PainFree text: Not yet just got the shot this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-16
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
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2021-05-03
Survey response — 3 months, dose 2MedDRA: Headache, Sinus headache — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Sinuses and severe headaches. Haf a test dine Thursday last week and it came back negitiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-02
Survey response — 6 months, dose 2MedDRA: Diabetes mellitus, Gastrointestinal infection, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: My diabetes is out of control and i had a serious intestinal infection over the 4th of JulyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-01
Survey response — 12 months, dose 2MedDRA: Anosmia, COVID-19, Cough, Ear discomfort, Fatigue, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Diagnosed with COVID on November 2nd 2021. Symptoms were minimal. Feeling run down lasted the longest about 2 months Had a fever 1 day a cough 2 days loss of smell for a week and plugged ears for about a monthMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna |
Free text
Release 2 — day 21, dose 1
Symptoms: Scratchy throat runny nose coughing slight headache and as of today my chest stsryed hurting.
Release 3 — day 0, dose 2
Systemic reaction (other): Not yet just got the shot this morning
Release 8 — 3 months, dose 2
Symptoms: Sinuses and severe headaches. Haf a test dine Thursday last week and it came back negitive
Release 9 — 6 months, dose 2
Symptoms: My diabetes is out of control and i had a serious intestinal infection over the 4th of July
Release 11 — 12 months, dose 2
Symptoms: Diagnosed with COVID on November 2nd 2021. Symptoms were minimal. Feeling run down lasted the longest about 2 months Had a fever 1 day a cough 2 days loss of smell for a week and plugged ears for about a month
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 | Anosmia | · | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diabetes mellitus | ✓ | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal infection | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinus headache | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release