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Y6J-28439-36085

2 vaccinations 7 coded responses 13 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
740 / OK
Registered
2021-05-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-23
    Dose 1 — Moderna
  2. 2021-05-24
    Dose 2 — Moderna
  3. 2021-05-25
    Registered in v-safe
  4. 2021-05-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-05-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blood blister — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Popped blood vessels on skin
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vein rupture — Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Busted vessels on surface of the skin
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-05-31
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-06-07
    Survey response — day 14, dose 2
    MedDRA: Cystitis, Nasopharyngitis, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Picked up a cold and since i have had a Bladder infection, Sore throat, and pin prick feeling in my fingers and toes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-06-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-28
    Survey response — day 35, dose 2
    MedDRA: Cough, Oropharyngeal pain, Pyrexia, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Sinus congestion, sore throat, tiredness, cough. Mild fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-07-05
    Survey response — day 42, dose 2
    MedDRA: Cough, Fatigue, Pain, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Tiredness, sneeze, cough, aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-08-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-22
    Survey response — 6 months, dose 2
    MedDRA: Decreased immune responsiveness, Malaise, Nasopharyngitis, Viral infection — Feeling: Good · Be unable to do your normal daily activities
    Free text: Lots of cold like symptoms. Decreased immunity. Been sick every two weeks to viral infection.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-05-26
    Survey response — 12 months, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Constantly catching everthing. It's been hard to stay healthy
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-23Moderna
22021-05-24Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-27

Systemic reaction (other): Popped blood vessels on skin

2021-05-28

Systemic reaction (other): Busted vessels on surface of the skin

Release 8 — day 14, dose 2

2021-06-07

Symptoms: Picked up a cold and since i have had a Bladder infection, Sore throat, and pin prick feeling in my fingers and toes

Release 9 — day 35, dose 2

2021-06-28

Symptoms: Sinus congestion, sore throat, tiredness, cough. Mild fever

Release 9 — day 42, dose 2

2021-07-05

Symptoms: Tiredness, sneeze, cough, aches

Release 10 — 6 months, dose 2

2021-11-22

Symptoms: Lots of cold like symptoms. Decreased immunity. Been sick every two weeks to viral infection.

Release 11 — 12 months, dose 2

2022-05-26

Symptoms: Constantly catching everthing. It's been hard to stay healthy

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
SDAdverse reaction · · ✓
SDCough ✓ ✓ ✓
SDCystitis ✓ ✓ ✓
SDDecreased immune responsiveness · · ✓
SDFatigue ✓ ✓ ✓
SDMalaise · · ✓
SDNasopharyngitis ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSinus congestion ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SDViral infection · · ✓
SROBlood blister ✓ ✓ ✓
SROVein rupture ✓ ✓ ✓

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

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