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36J-33768-55688

3 vaccinations 18 coded responses 25 check-ins 18 free-text entries 7 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
967 / HI
Registered
2021-03-22
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-22
    Registered in v-safe
  2. 2021-03-22
    Dose 1 — Moderna
  3. 2021-03-22
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Stuffy nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Nausea, Pain, Parosmia, Physiotherapy, Vertigo, Vomiting — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Super sensitive smell that causes moderate nausea and vomiting (not pregnant husband has vasectomy), yesterday body aches turned severe and felt like I was steam rollers by semi like when I eat eggs (egg sensitivity). Even though I heard there are no eggs in the vaccine. · Healthcare visit (other): Went to PT which I have been going weekly for spinning from (this is week 6). This nausea and vomiting from yesterday night is unrelated as I was spinning and dizzy not nauseous or vomiting prior.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-24
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lacrimation increased, Mood swings, Myalgia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Muscle above my heart has periodic pain, Extreme moods as if on birth control pills brought to tears for no good reason
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Itchy ears for no reason! Lol.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pain, Office visit, Pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Left eye hurts. Feels like a stye but not swollen like a stye eye · Healthcare visit (other): Yesterday massage for pain. Today Acupuncture also for pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-27
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-03-29
    Survey response — day 7, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Have had fuzzy thinking since vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-19
    Dose 2 — Moderna
  15. 2021-04-19
    Survey response — day 0, dose 2
    MedDRA: Dysgeusia, Injection site pain, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Bitter taste in mouth, sore site of vaccination, sore side of foot on side of vaccination site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Crying, Eye discharge, Injection site pain, Myalgia, Pain in jaw, Peripheral swelling, Scab, Skin warm — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sticky, weepy and crusty eyes, jaw pain, sore vaccination site, sore hamstring on vaccination side, swollen and warm foot right next to pinky toe on side of vaccination site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pruritus, Sinus congestion, Throat irritation — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sinus stuffed, itchy throat, itchy left ear again
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Bloody discharge, Eyelid margin crusting, Oropharyngeal pain, Peripheral coldness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Cold feet, sore throat, bloody discharge from nose on right side (side of vaccination site), crusty eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye pruritus, Headache, Paraesthesia — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches
    Free text: Sore tingly feet, itchy left eye, headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  21. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sinus congestion — Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Free text: Stuffed sinus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-26
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  23. 2021-05-03
    Survey response — day 14, dose 2
    MedDRA: Headache, Oropharyngeal pain, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Feverish, sore throat, headache, bodyaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-31
    Survey response — day 42, dose 2
    MedDRA: Back pain, Neck pain, Pain in jaw, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Sore jaw, sore neck, sore back, stuffed sinus, can hear a low hum or vibration that puts my body at unease.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-31
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-07-19
    Survey response — 3 months, dose 2
    MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Very tired. Reduced stamina and energy.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-07-19
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  30. 2021-08-02
  31. 2021-08-02
  32. 2021-08-02
  33. 2021-08-02
  34. 2021-10-18
    Survey response — 6 months, dose 2
    MedDRA: Blood thyroid stimulating hormone increased, Dizziness, Fatigue, Hypersomnia, Hypothyroidism, Muscle spasms, Night sweats, Office visit, Paraesthesia, Pruritus, Thyroxine increased, Wheezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Extreme tired. Sleep 16-20 hours a day. Diagnosed with hypothyroidism. Very high TSH after month of only high T4. Periodic wheezing on inhale, extreme itchy skin all over body, pins & needles in hands upon wake, dizzy, night sweats, heart cramp, low · Healthcare visit (other): Various doctors and specialists. Still need to see endocrinologist and cardiologist
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-10-18
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  36. 2021-10-21
  37. 2022-01-28
    Dose 3 — Pfizer-BioNTech
  38. 2022-05-01
    Survey response — 3 months, dose 3
    MedDRA: Dizziness — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Was dizzy earlier. Felt like being in a plane during turbulence or an elevator suddenly dropping
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-05-01
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  40. 2022-05-03
  41. 2022-07-29
    Survey response — 6 months, dose 3
    MedDRA: Autoimmune thyroiditis, Hypothyroidism — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Hypothyroidism, Hashimoto's
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-07-29
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  43. 2022-08-01

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna
22021-04-19Moderna
32022-01-28Pfizer-BioNTech No

Call center

7 call center cases

7 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Stuffy nose

2021-03-24

Systemic reaction (other): Super sensitive smell that causes moderate nausea and vomiting (not pregnant husband has vasectomy), yesterday body aches turned severe and felt like I was steam rollers by semi like when I eat eggs (egg sensitivity). Even though I heard there are no eggs in the vaccine.
Healthcare visit (other): Went to PT which I have been going weekly for spinning from (this is week 6). This nausea and vomiting from yesterday night is unrelated as I was spinning and dizzy not nauseous or vomiting prior.

2021-03-25

Systemic reaction (other): Muscle above my heart has periodic pain, Extreme moods as if on birth control pills brought to tears for no good reason

2021-03-26

Systemic reaction (other): Itchy ears for no reason! Lol.

2021-03-27

Systemic reaction (other): Left eye hurts. Feels like a stye but not swollen like a stye eye
Healthcare visit (other): Yesterday massage for pain. Today Acupuncture also for pain.

Release 6 — day 7, dose 1

2021-03-29

Systemic reaction (other): Have had fuzzy thinking since vaccine

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): Bitter taste in mouth, sore site of vaccination, sore side of foot on side of vaccination site.

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Sticky, weepy and crusty eyes, jaw pain, sore vaccination site, sore hamstring on vaccination side, swollen and warm foot right next to pinky toe on side of vaccination site

2021-04-21

Systemic reaction (other): Sinus stuffed, itchy throat, itchy left ear again

2021-04-22

Systemic reaction (other): Cold feet, sore throat, bloody discharge from nose on right side (side of vaccination site), crusty eyes

2021-04-23

Systemic reaction (other): Sore tingly feet, itchy left eye, headache

2021-04-25

Systemic reaction (other): Stuffed sinus

Release 8 — day 14, dose 2

2021-05-03

Symptoms: Feverish, sore throat, headache, bodyaches

Release 8 — day 42, dose 2

2021-05-31

Symptoms: Sore jaw, sore neck, sore back, stuffed sinus, can hear a low hum or vibration that puts my body at unease.

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Very tired. Reduced stamina and energy.

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: Extreme tired. Sleep 16-20 hours a day. Diagnosed with hypothyroidism. Very high TSH after month of only high T4. Periodic wheezing on inhale, extreme itchy skin all over body, pins & needles in hands upon wake, dizzy, night sweats, heart cramp, low cut off by CDC
Healthcare visit (other): Various doctors and specialists. Still need to see endocrinologist and cardiologist

Release 11 — 3 months, dose 3

2022-05-01

Symptoms: Was dizzy earlier. Felt like being in a plane during turbulence or an elevator suddenly dropping

Release 12 — 6 months, dose 3

2022-07-29

Symptoms: Hypothyroidism, Hashimoto's

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
HCVODizziness ✓ ✓ ✓
HCVONausea ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOPain ✓ ✓ ✓
HCVOPhysiotherapy ✓ ✓ ✓
HCVOVertigo ✓ ✓ ✓
HCVOVomiting ✓ ✓ ✓
SDAsthenia · · ✓
SDAutoimmune thyroiditis · · ✓
SDBack pain ✓ ✓ ✓
SDBlood thyroid stimulating hormone increased · · ✓
SDDizziness · · ✓
SDFatigue · · ✓
SDHeadache ✓ ✓ ✓
SDHypersomnia · · ✓
SDHypothyroidism · · ✓
SDMuscle spasms · · ✓
SDNeck pain ✓ ✓ ✓
SDNight sweats · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in jaw ✓ ✓ ✓
SDParaesthesia · · ✓
SDPruritus · · ✓
SDPyrexia ✓ ✓ ✓
SDSinus congestion ✓ ✓ ✓
SDThyroxine increased · · ✓
SDWheezing · · ✓
SROBloody discharge ✓ ✓ ✓
SROCrying ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROEar pruritus ✓ ✓ ✓
SROEye discharge ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROEye pruritus ✓ ✓ ✓
SROEyelid margin crusting ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLacrimation increased ✓ ✓ ✓
SROMood swings ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROParosmia ✓ ✓ ✓
SROPeripheral coldness ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROScab ✓ ✓ ✓
SROSinus congestion ✓ ✓ ✓
SROSkin warm ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

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