Y6D-11695-10319
3 vaccinations
6 coded responses
17 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 871 / NM
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-18
Registered in v-safe
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2021-03-18
Dose 1 — Moderna
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2021-03-18
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Swelling · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Dysphonia, Headache, Oropharyngeal pain, Somnolence — Feeling: Fair · Headache, Fatigue or tirednessFree text: Sleepy alot, Bad sore throat almost lost my voice and bad headache ladt nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Headache, Fatigue or tirednessFree text: Small headache off and on.. not as tired or sleepy as ive beenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite, Headache, Pyrexia, Somnolence, Vomiting — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Vomiting · Be unable to workFree text: Headache all day..no appetite..Last night i threw up and had a liw fever..went and got covid tested this morning..they sent me home cuz of my sympyoms..slept all day..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
- 2021-04-08
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2021-04-15
Dose 2 — Moderna
- 2021-04-15
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: Sore scratchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
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2021-04-29
Survey response — day 14, dose 2MedDRA: Headache, Malaise, Respiratory tract congestion, Somnolence — Feeling: Good · Be unable to workFree text: Tuesday i left work reallyvearly . I was feeling really sick..i had bad bad headache thatcwoukd not go away.. felt fongested and slept all day.. my headack lasted froom early morning til late night Tuesday..couple days beforecthstvheadache off and onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-11-12
Dose 3 — Moderna
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Sleepy alot, Bad sore throat almost lost my voice and bad headache ladt night
Systemic reaction (other): Small headache off and on.. not as tired or sleepy as ive been
Systemic reaction (other): Headache all day..no appetite..Last night i threw up and had a liw fever..went and got covid tested this morning..they sent me home cuz of my sympyoms..slept all day..
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sore scratchy throat
Systemic reaction (other): Sore throat
Release 8 — day 14, dose 2
Symptoms: Tuesday i left work reallyvearly . I was feeling really sick..i had bad bad headache thatcwoukd not go away.. felt fongested and slept all day.. my headack lasted froom early morning til late night Tuesday..couple days beforecthstvheadache off and on cut off by CDC
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 | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dysphonia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release