25W-63387-67177
4 vaccinations
6 coded responses
54 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 950 / CA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-14
- 2021-02-19
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Good · Site: Redness, Itching · Muscle or body achesFree text: Loud ringing in the ears (tinnitus) that lasted for 2-3 hours last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
-
2021-03-26
Survey response — day 21, dose 2MedDRA: Arthralgia, Fatigue, Headache, Myalgia — Feeling: GoodFree text: Fatigue, headache, muscle and joint pain - mild/moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-11
- 2021-04-16
- 2021-06-04
- 2021-09-03
-
2021-11-13
Dose 3 — Moderna
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Toothache — Feeling: Good · Site: PainFree text: I had severe teeth pain on the upper and lower right side of my mouth for about 10 hours beginning 26 hours after I received the booster. Completely gone after that.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-13
- 2021-12-18
- 2021-12-25
- 2022-02-12
- 2022-05-14
-
2022-06-01
Dose 4 — Pfizer-BioNTech
- 2022-06-01
-
2022-06-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-06-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-06-04
-
2022-06-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-06-06
Survey response — days 1–6 daily, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: I tested positive for Covid today. :(MedDRA releases: 2024-11 · check-in free text available
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2022-06-07
Survey response — days 1–6 daily, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: I tested positive for Covid yesterday and started Paxlovid today.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Survey response — day 7, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: I tested positive with Covid 2 days ago.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-15
- 2022-06-22
- 2022-06-29
- 2022-07-06
- 2022-07-13
- 2022-08-31
- 2022-11-30
- 2023-06-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-06-01 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Loud ringing in the ears (tinnitus) that lasted for 2-3 hours last night.
Release 6 — day 21, dose 2
Symptoms: Fatigue, headache, muscle and joint pain - mild/moderate
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had severe teeth pain on the upper and lower right side of my mouth for about 10 hours beginning 26 hours after I received the booster. Completely gone after that.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I tested positive for Covid today. :(
Systemic reaction (other): I tested positive for Covid yesterday and started Paxlovid today.
Release 11 — day 7, dose 4
Systemic reaction (other): I tested positive with Covid 2 days ago.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Toothache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release