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QD5-15125-16283

3 vaccinations 4 coded responses 35 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
606 / IL
Registered
2021-02-05
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-05
    Registered in v-safe
  2. 2021-02-05
    Dose 1 — Moderna
  3. 2021-02-05
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain · Headache
    Free text: Runny nose; sneezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  6. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  7. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Nausea, Abdominal pain
    Adult check-in
  8. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  9. 2021-02-12
    Health check-in — day 7, dose 1
    Feeling: Good · Nausea
    Adult check-in
  10. 2021-02-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-05
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-12
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  14. 2021-03-16
    Dose 2 — Moderna
  15. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  16. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  17. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  19. 2021-03-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-25
    Dose 3 — Moderna
  28. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  29. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-03
    Survey response — day 7, dose 3
    MedDRA: Feeling hot, Pyrexia — Feeling: Good · Fever · Fatigue or tiredness
    Free text: Warm/slightly feverish
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-06
    Survey response — day 42, dose 3
    MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Queasy
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-01-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-10-27
    Survey response — 12 months, dose 3
    MedDRA: Cough, Flank pain — Feeling: Fair · Be unable to work or attend school
    Free text: Cough Pain in my left side when I cough
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-16Moderna
32021-10-25Moderna No

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Runny nose; sneezing

Release 10 — day 7, dose 3

2021-11-03

Systemic reaction (other): Warm/slightly feverish

Release 10 — day 42, dose 3

2021-12-06

Symptoms: Queasy

Release 12 — 12 months, dose 3

2022-10-27

Symptoms: Cough Pain in my left side when I cough

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
SDCough · · ✓
SDFlank pain · · ✓
SDNausea · · ✓
SROFeeling hot · · ✓
SROPyrexia · · ✓
SRORhinorrhoea ✓ ✓ ✓
SROSneezing ✓ ✓ ✓

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

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