6Y7-13116-98366
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 640 / MO
- Registered
- 2021-06-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-09
Registered in v-safe
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2021-06-09
Dose 1 — Moderna
- 2021-06-09
- 2021-06-10
- 2021-06-11
- 2021-06-12
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2021-06-13
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: I have had a sore throat and coughing and a runny nose and a slight headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Dry mouth — Feeling: Poor · Headache, Fatigue or tirednessFree text: Dry mouth off and on . Still have a cough andMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Survey response — day 7, dose 1MedDRA: Cough, Nasal congestion — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Stuffy nose and coughing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-23
Survey response — day 14, dose 1MedDRA: Asthenia, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I'm feeling like I have a really bad head cold with bad congestion. I don't have any energy during the day. I haven't had a fever or vomiting or diarrhea. At times it's like I can't get enough fluid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-30
Survey response — day 21, dose 1MedDRA: Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Have had the runs and been throwing up for the last 2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-07
Dose 2 — Moderna
- 2021-07-07
- 2021-07-08
- 2021-07-09
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2021-07-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-07-11
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2021-07-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-07-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-07-14
- 2021-07-21
- 2021-07-29
- 2021-08-04
- 2021-08-11
- 2021-08-18
- 2021-10-06
- 2022-01-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-09 | Moderna | |
| 2 | 2021-07-07 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): I have had a sore throat and coughing and a runny nose and a slight headache
Systemic reaction (other): Dry mouth off and on . Still have a cough and
Release 9 — day 7, dose 1
Systemic reaction (other): Stuffy nose and coughing.
Release 9 — day 14, dose 1
Symptoms: I'm feeling like I have a really bad head cold with bad congestion. I don't have any energy during the day. I haven't had a fever or vomiting or diarrhea. At times it's like I can't get enough fluid.
Release 9 — day 21, dose 1
Symptoms: Have had the runs and been throwing up for the last 2 days.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release