34J-15079-07742
4 vaccinations
11 coded responses
46 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 502 / IA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-30
Registered in v-safe
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2020-12-30
Dose 1 — Moderna
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2020-12-30
Health check-in — day 0, dose 1Feeling: Fair · Site: Redness · Headache, Fatigue or tirednessAdult check-in
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2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-03
- 2021-01-04
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Sinus congestion — Feeling: Fair · Headache, Fatigue or tirednessFree text: Sinus congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Survey response — day 7, dose 1MedDRA: Nasal congestion — Feeling: Fair · Headache, Fatigue or tirednessFree text: Nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-20
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2021-01-27
Dose 2 — Moderna
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2021-01-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · 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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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Swelling — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessFree text: Swollen near collarbone on same side as injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
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2021-03-04
Survey response — day 35, dose 2MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
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2021-04-28
Survey response — 3 months, dose 2MedDRA: Hypoaesthesia, Pain in extremity — Feeling: GoodFree text: My big toe on my right foot has had some unexplainable pain and some numbness. This has been going on for about 3 weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-28
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2021-10-27
Dose 3 — Moderna
- 2021-10-27
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, NauseaAdult check-in
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-03
- 2021-11-10
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2021-11-17
Survey response — day 21, dose 3MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: FairFree text: Nasal congestion Sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Survey response — day 28, dose 3MedDRA: Headache, Nasal congestion — Feeling: FairFree text: Stuffy nose. Headache. Maybe Allergies.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-01
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2021-12-08
Survey response — day 42, dose 3MedDRA: Breast cyst — Feeling: FairFree text: Breast cyst non cancerousMedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
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2022-04-27
Survey response — 6 months, dose 3MedDRA: Aphasia, Brain fog, Nasopharyngitis — Feeling: GoodFree text: Brain fog. I haven't been diagnosed with COVID but have had a few cold like symptoms from time to time. In the last 4 weeks I have experienced a brain fog where I have a hard time finding the right words for everyday conversations.MedDRA releases: 2024-11 · check-in free text available
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2022-09-17
Dose 4 — Pfizer-BioNTech
- 2022-10-05
- 2022-10-10
- 2022-10-15
- 2022-10-22
- 2022-10-29
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2022-12-17
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: Cold like symptoms but negative Covid testMedDRA releases: 2024-11 · check-in free text available
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2023-03-25
Survey response — 6 months, dose 4MedDRA: Cough, Headache, Pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-09-17 | Pfizer-BioNTech | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sinus congestion
Release 1 — day 7, dose 1
Systemic reaction (other): Nasal congestion
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen near collarbone on same side as injection site.
Release 5 — day 35, dose 2
Symptoms: Headache
Release 8 — 3 months, dose 2
Symptoms: My big toe on my right foot has had some unexplainable pain and some numbness. This has been going on for about 3 weeks.
Release 10 — day 21, dose 3
Symptoms: Nasal congestion Sore throat
Release 10 — day 28, dose 3
Symptoms: Stuffy nose. Headache. Maybe Allergies.
Release 10 — day 42, dose 3
Symptoms: Breast cyst non cancerous
Release 11 — 6 months, dose 3
Symptoms: Brain fog. I haven't been diagnosed with COVID but have had a few cold like symptoms from time to time. In the last 4 weeks I have experienced a brain fog where I have a hard time finding the right words for everyday conversations.
Release 12 — 3 months, dose 4
Symptoms: Cold like symptoms but negative Covid test
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 | Aphasia | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Breast cyst | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release