24Q-76689-87921
5 vaccinations
24 coded responses
48 check-ins
24 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 603 / IL
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
3QY-17576-03465
Adult relative or friend · Male · 2021-10-28
Y2D-71256-79417
Child or adolescent in my care · Female · 2021-11-12
Timeline
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2021-02-19
Registered in v-safe
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2021-02-19
Dose 1 — Moderna
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2021-02-19
Survey response — day 0, dose 1MedDRA: Feeling drunk — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Drunken feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain, Itching · Muscle or body achesFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · Headache, Muscle or body aches, NauseaFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fatigue or tirednessFree text: Sore throat, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-14
- 2021-03-19
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2021-03-26
Dose 2 — Moderna
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2021-03-26
Survey response — day 0, dose 2MedDRA: Dizziness, Feeling drunk — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Woozy, drunken feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Insomnia, congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Tenderness in lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-04-09
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2021-04-16
Survey response — day 21, dose 2MedDRA: Lymph node pain — Feeling: FairFree text: Tender lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 28, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes in vaccinated armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
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2021-05-08
Survey response — day 42, dose 2MedDRA: Arthralgia, Migraine with aura, Office visit, Premature menopause — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: New joint pain, new aura migraines, rapidly increasing symptoms of early menapause. · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-25
- 2021-09-24
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2021-11-21
Dose 3 — Pfizer-BioNTech
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2021-11-21
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Acne, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Acne, runny noseMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Lymphoedema — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Lymphedema on my entire left side from jaw to chestMedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Lymphoedema — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lymphedema from anterior neck into chest, back, and axillaMedDRA releases: 2024-11 · check-in free text available
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2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, SwellingFree text: Swollen lymph nodes at clavicle and axillaMedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph nodes along clavicle and axillaMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
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2021-11-28
Health check-in — day 7, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-06
- 2021-12-13
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2021-12-19
Survey response — day 28, dose 3MedDRA: Lymphadenopathy — Feeling: FairFree text: Axial, cervical, and breast lymph nodes keep swelling and getting better.MedDRA releases: 2024-11 · check-in free text available
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2021-12-27
Survey response — day 35, dose 3MedDRA: Headache, Respiratory tract congestion — Feeling: FairFree text: Headaches, random congestionMedDRA releases: 2024-11 · check-in free text available
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2022-01-02
Survey response — day 42, dose 3MedDRA: Headache, Hot flush, Menstruation delayed — Feeling: FairFree text: Delayed menstrual cycles, hot flashes, more frequent headachesMedDRA releases: 2024-11 · check-in free text available
- 2022-02-20
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2022-04-14
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-22
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2022-06-19
Dose 4 — Pfizer-BioNTech
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2022-10-04
Dose 5 — Moderna
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2022-10-17
Survey response — day 7, dose 5MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
- 2022-10-25
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2022-11-01
Survey response — day 28, dose 5MedDRA: Back pain, Dizziness, Fatigue, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Post nasal drip, sore throat, dizziness, fatigue, back painMedDRA releases: 2024-11 · check-in free text available
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2022-11-08
Survey response — day 35, dose 5MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: CovidMedDRA releases: 2024-11 · check-in free text available
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2022-11-08
Report sent to call center — day 35, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-11-09
Call successfulParticipant prefers to complete VAERS report online
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2022-11-15
Survey response — day 42, dose 5MedDRA: Adenoiditis, Fatigue, Hot flush, Insomnia, Menstruation irregular, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Mucous, adenoid inflame, irregular menses, hot flashes, fatigue, difficulty sleepingMedDRA releases: 2024-11 · check-in free text available
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2022-11-15
Report sent to call center — day 42, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-16
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-21 | Pfizer-BioNTech | No |
| 4 | 2022-06-19 | Pfizer-BioNTech | No |
| 5 | 2022-10-04 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Drunken feeling
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Congestion
Systemic reaction (other): Congestion
Systemic reaction (other): Sore throat, runny nose
Release 6 — day 0, dose 2
Systemic reaction (other): Woozy, drunken feeling
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia, congestion
Systemic reaction (other): Shortness of breath
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Tenderness in lymph nodes
Release 7 — day 21, dose 2
Symptoms: Tender lymph nodes
Release 7 — day 28, dose 2
Symptoms: Swollen lymph nodes in vaccinated arm
Release 8 — day 42, dose 2
Symptoms: New joint pain, new aura migraines, rapidly increasing symptoms of early menapause.
Healthcare visit (other): Office visit
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Acne, runny nose
Systemic reaction (other): Lymphedema on my entire left side from jaw to chest
Systemic reaction (other): Lymphedema from anterior neck into chest, back, and axilla
Systemic reaction (other): Swollen lymph nodes at clavicle and axilla
Systemic reaction (other): Swollen lymph nodes along clavicle and axilla
Release 10 — day 28, dose 3
Symptoms: Axial, cervical, and breast lymph nodes keep swelling and getting better.
Release 10 — day 35, dose 3
Symptoms: Headaches, random congestion
Release 10 — day 42, dose 3
Symptoms: Delayed menstrual cycles, hot flashes, more frequent headaches
Release 12 — day 7, dose 5
Systemic reaction (other): Congestion
Release 12 — day 28, dose 5
Symptoms: Post nasal drip, sore throat, dizziness, fatigue, back pain
Release 12 — day 35, dose 5
Symptoms: Covid
Release 12 — day 42, dose 5
Symptoms: Mucous, adenoid inflame, irregular menses, hot flashes, fatigue, difficulty sleeping
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Adenoiditis | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hot flush | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Menstruation delayed | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Migraine with aura | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Premature menopause | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Acne | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Feeling drunk | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Lymphoedema | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release