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2H7-10310-51861

4 vaccinations 26 coded responses 42 check-ins 26 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
873 / NM
Registered
2021-03-31
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino
Registered dependents
XFK-24248-85041 Child or adolescent in my care · Female · 2022-01-08
JPT-69835-04607 Child or adolescent in my care · Male · 2022-01-08

Timeline

  1. 2021-03-31
    Registered in v-safe
  2. 2021-03-31
    Dose 1 — Moderna
  3. 2021-03-31
    Survey response — day 0, dose 1
    MedDRA: Confusional state, Dizziness, Dysgeusia — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Awful metallic taste in my mouth, dizziness and ditziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia, Salivary hypersecretion, Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Excessive salivating, metallic taste in my mouth, ears ringing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Metallic taste in my mouth and ears ringing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Metallic taste in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Lingering metallic taste in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Metallic taste in my mouth still
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Metallic taste in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-07
    Survey response — day 7, dose 1
    MedDRA: Dysgeusia — Feeling: Good · Fatigue or tiredness
    Free text: Metallic taste in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-14
    Survey response — day 14, dose 1
    MedDRA: Oedema peripheral — Feeling: Good · Be unable to do your normal daily activities
    Free text: 4/8 Swelling under my left armpit. Lasted for 3-4 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-28
    Dose 2 — Moderna
  14. 2021-04-28
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Metallic taste in my mouth & sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Metallic taste in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Metallic taste in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-05-05
    Survey response — day 7, dose 2
    MedDRA: Dysgeusia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Metallic taste in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-14
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-05-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-26
    Health check-in — day 28, dose 2
    Feeling: Poor
    Adult check-in
  23. 2021-06-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-28
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-10-29
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-12-02
    Dose 3 — Moderna
  28. 2021-12-02
    Survey response — day 0, dose 3
    MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Metallic taste in my mouth
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-12-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dysgeusia, Dyspepsia, Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swollen & painful lymph nodes, heartburn & metallic taste in my mouth
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-12-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dysgeusia, Dyspepsia, Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swollen lymph node under my arm seems worse and hurts more, heartburn and I have a metallic taste in my mouth
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Burning sensation, Dysgeusia, Dyspepsia, Oedema peripheral, Pruritus — Feeling: Fair · Site: Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swollen, burning, itching, painful arm pit. This pain & swelling is worse than yesterday. Bad heartburn. Can't even drink water without getting heartburn. Metal taste in my mouth.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Dyspepsia, Oedema peripheral — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Under arm is more swollen then last check in. Hurts to put my arm down. Bad heartburn.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-12-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Dyspepsia, Oedema peripheral — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Underarm still swollen and very painful, also still have bad heartburn
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Dyspepsia, Oedema peripheral — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swollen under arm & pain still. Although not as bad as yesterday. Still get bad heartburn as well.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-12-12
    Survey response — day 7, dose 3
    MedDRA: Arthralgia, Dyspepsia, Fatigue, Migraine, Myalgia, Oedema peripheral — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Since my booster I've have a huge increase in migraines. Under my arm is still a bit swollen. Heartburn isn't as bad. Just extremely, extremely tired with muscle and joint pain at night.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-12-16
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  37. 2021-12-23
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  38. 2021-12-30
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  39. 2022-01-08
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  40. 2022-01-13
    Survey response — day 42, dose 3
    MedDRA: Lymphadenopathy, Pain — Feeling: Fair
    Free text: Supposedly my lymph node on my jaw, lumped up. Very painful
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-03-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-06-03
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  43. 2022-10-03
    Dose 4 — Pfizer-BioNTech
  44. 2022-10-07
    Survey response — days 1–6 daily, dose 4
    MedDRA: Cough, Migraine, Oropharyngeal pain, Rhinorrhoea, Throat irritation — Feeling: Poor · 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 activities
    Free text: Itchy scratchy sore throat, coughing, runny nose, migraine
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-10-08
    Survey response — days 1–6 daily, dose 4
    MedDRA: Cough, Headache, SARS-CoV-2 test positive, Throat irritation — Feeling: Poor · 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 activities
    Free text: Rapid covid test came back positive, coughing, scratchy throat, bad headache
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-09
    Survey response — days 1–6 daily, dose 4
    MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Poor · 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 activities
    Free text: Positive covid test, coughing, runny nose, sore throat
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-10-10
    Survey response — day 7, dose 4
    MedDRA: Cough, Dyspnoea, Migraine, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: Poor · 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 activities
    Free text: Positive rapid covid test, coughing, sore throat, migraine, hard to breathe
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-28Moderna
32021-12-02Moderna No
42022-10-03Pfizer-BioNTech No

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): Awful metallic taste in my mouth, dizziness and ditziness

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Excessive salivating, metallic taste in my mouth, ears ringing

2021-04-02

Systemic reaction (other): Metallic taste in my mouth and ears ringing

2021-04-03

Systemic reaction (other): Metallic taste in my mouth

2021-04-04

Systemic reaction (other): Lingering metallic taste in my mouth

2021-04-05

Systemic reaction (other): Metallic taste in my mouth still

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Metallic taste in my mouth

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): Metallic taste in my mouth

Release 7 — day 14, dose 1

2021-04-14

Symptoms: 4/8 Swelling under my left armpit. Lasted for 3-4 days.

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Metallic taste in my mouth & sore throat

2021-05-01

Systemic reaction (other): Metallic taste in my mouth

2021-05-02

Systemic reaction (other): Metallic taste in my mouth

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Metallic taste in my mouth

Release 10 — day 0, dose 3

2021-12-02

Systemic reaction (other): Metallic taste in my mouth

Release 10 — days 1–6 daily, dose 3

2021-12-03

Systemic reaction (other): Swollen & painful lymph nodes, heartburn & metallic taste in my mouth

2021-12-04

Systemic reaction (other): Swollen lymph node under my arm seems worse and hurts more, heartburn and I have a metallic taste in my mouth

2021-12-05

Systemic reaction (other): Swollen, burning, itching, painful arm pit. This pain & swelling is worse than yesterday. Bad heartburn. Can't even drink water without getting heartburn. Metal taste in my mouth.

2021-12-06

Systemic reaction (other): Under arm is more swollen then last check in. Hurts to put my arm down. Bad heartburn.

2021-12-07

Systemic reaction (other): Underarm still swollen and very painful, also still have bad heartburn

2021-12-08

Systemic reaction (other): Swollen under arm & pain still. Although not as bad as yesterday. Still get bad heartburn as well.

Release 10 — day 7, dose 3

2021-12-12

Systemic reaction (other): Since my booster I've have a huge increase in migraines. Under my arm is still a bit swollen. Heartburn isn't as bad. Just extremely, extremely tired with muscle and joint pain at night.

Release 10 — day 42, dose 3

2022-01-13

Symptoms: Supposedly my lymph node on my jaw, lumped up. Very painful

Release 12 — days 1–6 daily, dose 4

2022-10-07

Systemic reaction (other): Itchy scratchy sore throat, coughing, runny nose, migraine

2022-10-08

Systemic reaction (other): Rapid covid test came back positive, coughing, scratchy throat, bad headache

2022-10-09

Systemic reaction (other): Positive covid test, coughing, runny nose, sore throat

Release 12 — day 7, dose 4

2022-10-10

Systemic reaction (other): Positive rapid covid test, coughing, sore throat, migraine, hard to breathe

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
SDLymphadenopathy · · ✓
SDOedema peripheral ✓ ✓ ✓
SDPain · · ✓
SROArthralgia · · ✓
SROAxillary pain · · ✓
SROBurning sensation · · ✓
SROConfusional state ✓ ✓ ✓
SROCough · · ✓
SRODizziness ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SRODyspepsia · · ✓
SRODyspnoea · · ✓
SROFatigue · · ✓
SROHeadache · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROMigraine · · ✓
SROMyalgia · · ✓
SROOedema peripheral · · ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPruritus · · ✓
SRORhinorrhoea · · ✓
SROSalivary hypersecretion ✓ ✓ ✓
SROSARS-CoV-2 test positive · · ✓
SROThroat irritation · · ✓
SROTinnitus ✓ ✓ ✓

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

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