36Y-22174-21089
5 vaccinations
19 coded responses
63 check-ins
19 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 953 / CA
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-06
Registered in v-safe
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2021-02-06
Dose 1 — Moderna
- 2021-02-06
- 2021-02-07
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2021-02-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
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2021-02-21
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling, Urticaria — Feeling: GoodFree text: Itchiness and welt at injection site and red raised area the size of two half dollars about half and inch below site. Occurred one week after injection and lasted 3 days. Only itchy first evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
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2021-03-06
Dose 2 — Moderna
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Coordination abnormal — Feeling: 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 activitiesFree text: Bad balance and coordinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Dysgeusia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: I realized that the last two days my sense of taste was off and some things just tasted different. Back to normal today. Still not back to normal on strength but close.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fuzzy brained - can't keep track of anything or remember stuffMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Taste disorder — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still a bit fuzzy-headed and a few things taste different from usual but less so than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Feeling abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still tired spacey all dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — day 7, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — day 14, dose 2MedDRA: Abnormal dreams, Restlessness, Sleep disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Restless, broken sleep and anxious dreaming. Started last week and was worse this week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
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2021-04-04
Survey response — day 28, dose 2MedDRA: Cough, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Spring allergies with a cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-17
- 2021-06-06
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2021-09-04
Survey response — 6 months, dose 2MedDRA: Cough, Dyspnoea, Respiratory disorder, Smoke sensitivity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Respiratory effects due to wildfire smoke. Cough and shortness of breath.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-01
Dose 3 — Moderna
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-12-06
- 2021-12-13
- 2022-01-31
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2022-04-21
Dose 4 — Moderna
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2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Malaise — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Just feel unwellMedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Feeling abnormal — Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Still a bit fuzzy headedMedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Inflammation, Insomnia — Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Did not sleep well last night. Feeling like I'm still inflamed, but less so.MedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-04
- 2022-07-21
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2022-10-21
Dose 5 — Moderna
- 2022-10-22
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2022-10-22
Survey response — days 1–6 daily, dose 5MedDRA: Musculoskeletal stiffness — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Arm when vaccine administered is stiffMedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-24
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Nasal congestion — Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Mild irritated cough and nasal congestionMedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Survey response — days 1–6 daily, dose 5MedDRA: Productive cough, Respiratory tract congestion — Feeling: Good · Site: Redness · Muscle or body aches, Fatigue or tirednessFree text: Mild congestion and mild productive coughMedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness · Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2022-10-27
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Redness · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2022-10-28
Survey response — day 7, dose 5MedDRA: Productive cough — Feeling: Good · Fatigue or tirednessFree text: Mildly productive morning coughMedDRA releases: 2024-11 · check-in free text available
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2022-11-04
Survey response — day 14, dose 5MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My cardiac arrhythmias have been more active the last couple of daysMedDRA releases: 2024-11 · check-in free text available
- 2022-11-14
- 2022-11-19
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2022-11-26
Survey response — day 35, dose 5MedDRA: Arthralgia, Chest injury, Joint stiffness, Musculoskeletal stiffness, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bad period of muscle and joint stiffness and soreness and back rib injuryMedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
- 2023-01-20
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-10-21 | Moderna | No |
Free text
Release 4 — day 14, dose 1
Symptoms: Itchiness and welt at injection site and red raised area the size of two half dollars about half and inch below site. Occurred one week after injection and lasted 3 days. Only itchy first evening.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Bad balance and coordination
Systemic reaction (other): I realized that the last two days my sense of taste was off and some things just tasted different. Back to normal today. Still not back to normal on strength but close.
Systemic reaction (other): Fuzzy brained - can't keep track of anything or remember stuff
Systemic reaction (other): Still a bit fuzzy-headed and a few things taste different from usual but less so than yesterday.
Systemic reaction (other): Still tired spacey all day
Release 5 — day 7, dose 2
Systemic reaction (other): Brain fog
Release 6 — day 14, dose 2
Symptoms: Restless, broken sleep and anxious dreaming. Started last week and was worse this week.
Release 6 — day 28, dose 2
Symptoms: Spring allergies with a cough.
Release 9 — 6 months, dose 2
Symptoms: Respiratory effects due to wildfire smoke. Cough and shortness of breath.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Just feel unwell
Systemic reaction (other): Still a bit fuzzy headed
Systemic reaction (other): Did not sleep well last night. Feeling like I'm still inflamed, but less so.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Arm when vaccine administered is stiff
Systemic reaction (other): Mild irritated cough and nasal congestion
Systemic reaction (other): Mild congestion and mild productive cough
Release 12 — day 7, dose 5
Systemic reaction (other): Mildly productive morning cough
Release 12 — day 14, dose 5
Symptoms: My cardiac arrhythmias have been more active the last couple of days
Release 12 — day 35, dose 5
Symptoms: Bad period of muscle and joint stiffness and soreness and back rib injury
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 | Abnormal dreams | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Chest injury | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | ✓ | · | ✓ |
| SD | Restlessness | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Smoke sensitivity | ✓ | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Coordination abnormal | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Inflammation | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Productive cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release