2QW-27511-24310
4 vaccinations
6 coded responses
40 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 141 / NY
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
HG7-28054-18509
Child or adolescent in my care · Male · 2022-06-28
Timeline
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2021-01-05
Dose 1 — Moderna
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2021-02-02
Dose 2 — Moderna
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2021-02-04
Registered in v-safe
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Intermittent light headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-02-07
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-04
- 2021-08-03
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2021-10-27
Dose 3 — Moderna
- 2021-10-27
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Chills, Cough, Fatigue, Feeling abnormal, Headache, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Last night I felt poor a few hours after completing this. My chills/headache/tiredness got severe. I felt congested & it hurt my head to blow my nose. I cough most times that I breathe in. My armpit on the side of injection hurts a lot.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Underarm on side of injection still hurts moderatelyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-12
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-27
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2022-10-21
Dose 4 — Pfizer-BioNTech
- 2022-10-21
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2022-10-22
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain — Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Underarm pain on the side of injectionMedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Survey response — days 1–6 daily, dose 4MedDRA: Breast tenderness, Oedema peripheral, Tenderness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Underarm swelling on side of injection, underarm and breast tenderness on side of injectionMedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Underarm pain and swelling on side of injectionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-10-27
- 2022-10-30
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-10-21 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Intermittent light headedness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Last night I felt poor a few hours after completing this. My chills/headache/tiredness got severe. I felt congested & it hurt my head to blow my nose. I cough most times that I breathe in. My armpit on the side of injection hurts a lot.
Systemic reaction (other): Underarm on side of injection still hurts moderately
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Underarm pain on the side of injection
Systemic reaction (other): Underarm swelling on side of injection, underarm and breast tenderness on side of injection
Systemic reaction (other): Underarm pain and swelling on side of injection
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 |
|---|---|---|---|---|
| SRO | Axillary pain | · | · | ✓ |
| SRO | Breast tenderness | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release