33B-71163-40666
4 vaccinations
9 coded responses
21 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 106 / NY
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
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2021-02-16
Registered in v-safe
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2021-02-16
Dose 2 — Moderna
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2021-02-16
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · NauseaFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Difficulty sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, NauseaAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
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2021-03-30
Survey response — day 42, dose 2MedDRA: Diarrhoea, Insomnia — Feeling: FairFree text: Difficulty sleeping. Diarrhea. These symptoms, however, may be totally unrelated to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — 3 months, dose 2MedDRA: Office visit, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Itchy rash that might or might not be poison ivy. · Healthcare visit (other): In office visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-16
Dose 3 — Moderna
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2021-08-17
Survey response — 6 months, dose 2MedDRA: Fatigue, Headache — Feeling: FairFree text: Headache (not severe) and tired.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-15
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2022-02-14
Survey response — 6 months, dose 3MedDRA: Headache — Feeling: FairFree text: Continuous headache when lying down on my back and occasional headaches at other times.MedDRA releases: 2024-11 · check-in free text available
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2022-03-21
Dose 4 — Moderna
- 2022-04-14
- 2022-04-18
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2022-04-25
Survey response — day 35, dose 4MedDRA: Fatigue, Lacrimation increased, Unevaluable event — Feeling: GoodFree text: Fatigue Sensitive, runny eyes (though probably unrelated to the vaccine)MedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Survey response — day 42, dose 4MedDRA: Fatigue, Lacrimation increased, Pre-existing disease — Feeling: FairFree text: Runny eyesmaybe allergies. FatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
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2022-06-20
Survey response — 3 months, dose 4MedDRA: Brain fog, COVID-19 — Feeling: FairFree text: Had COVID. My brain feels a bit foggy.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-08-16 | Moderna | No |
| 4 | 2022-03-21 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): None
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Difficulty sleeping
Release 6 — day 42, dose 2
Symptoms: Difficulty sleeping. Diarrhea. These symptoms, however, may be totally unrelated to the vaccine.
Release 8 — 3 months, dose 2
Symptoms: Itchy rash that might or might not be poison ivy.
Healthcare visit (other): In office visit.
Release 9 — 6 months, dose 2
Symptoms: Headache (not severe) and tired.
Release 11 — 6 months, dose 3
Symptoms: Continuous headache when lying down on my back and occasional headaches at other times.
Release 11 — day 35, dose 4
Symptoms: Fatigue Sensitive, runny eyes (though probably unrelated to the vaccine)
Release 11 — day 42, dose 4
Symptoms: Runny eyesmaybe allergies. Fatigue
Release 12 — 3 months, dose 4
Symptoms: Had COVID. My brain feels a bit foggy.
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 | Brain fog | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release