387-11934-45616
5 vaccinations
10 coded responses
30 check-ins
10 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 972 / OR
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-10
Registered in v-safe
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2021-03-10
Dose 1 — Moderna
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2021-03-10
Survey response — day 0, dose 1MedDRA: Headache, Pain, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body achesFree text: I live with chronic pain from various pre-existing conditions, so the pain and headache listed above are normal for meMedDRA 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 1MedDRA: Angina pectoris, COVID-19, Cerebral small vessel ischaemic disease, Condition aggravated, Dyspnoea, Paraesthesia, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: nerves in face tingling & increased angina and breathlessness (similar to symptoms I had in January when I was covid positive) I usually have some angina and occasional breathlessness due to pre-existing small vessel coronary disease, but it became worse and more often while I had covid. It had begun to get back to my baseline, but the vaccine aggravated it again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Myalgia, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: I believe the muscle aches and fatigue are related to preexisting chronic conditions, not the vaccine, at this pointMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
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2021-04-07
Dose 2 — Moderna
- 2021-04-07
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Pain of skin — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: stinging of skin, primarily on the face (like when I had Covid in January and February.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
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2021-04-28
Survey response — day 21, dose 2MedDRA: Angina pectoris, Arthralgia, Dyspnoea, Myalgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My usual joint and muscle pain is significantly worse. I am experiencing significantly more angina and breathlessness (which I had before I had Covid in January, and before being vaccinated) to the extent that it's difficult to do normal activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — day 28, dose 2MedDRA: Arthralgia, Muscle spasms, Myalgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: increased muscle aches and joint pain; calf cramping;MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-12
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2021-05-19
Survey response — day 42, dose 2MedDRA: Angina pectoris, Arthralgia, Dyspnoea, Myalgia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Angina, breathlessness, muscle and joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-06
Survey response — 6 months, dose 2MedDRA: Hospitalisation, Joint debridement, Knee arthroplasty, Pre-existing disease, Pyrexia, Staphylococcal bacteraemia — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: After an angioplasty I got a staph aureus bacteremia, that went to an old knee replacement, requiring knee debridement and replacement. After about a month of recovering at home I had a week of fevers, requiring hospitalization again. I'm now homeMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-10-08
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2021-11-18
Dose 3 — Pfizer-BioNTech
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2022-04-07
Survey response — 12 months, dose 2MedDRA: Pre-existing disease — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: After angioplasty to place a stent, I developed staph aureus bacteremia that spread to my right knee resulting in existing knee replacement having to be replaced again. The angioplasty also caused a femoral pseudo aneurysm & had surgery to fix it.MedDRA releases: 2024-11 · check-in free text available
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2022-04-07
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-11
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2022-05-06
Dose 4 — Pfizer-BioNTech
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2022-09-20
Dose 5 — Pfizer-BioNTech
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2022-09-29
Health check-in — day 7, dose 5Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-06
- 2022-10-11
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2022-10-18
Survey response — day 28, dose 5MedDRA: Arthralgia, Injected limb mobility decreased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I'm having significant shoulder pain and restricted movement on the right since my omicron booster, which seems to be getting worseMedDRA releases: 2024-11 · check-in free text available
- 2022-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-11-18 | Pfizer-BioNTech | No |
| 4 | 2022-05-06 | Pfizer-BioNTech | No |
| 5 | 2022-09-20 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): I live with chronic pain from various pre-existing conditions, so the pain and headache listed above are normal for me
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): nerves in face tingling & increased angina and breathlessness (similar to symptoms I had in January when I was covid positive) I usually have some angina and occasional breathlessness due to pre-existing small vessel coronary disease, but it became worse and more often while I had covid. It had begun to get back to my baseline, but the vaccine aggravated it again.
Systemic reaction (other): I believe the muscle aches and fatigue are related to preexisting chronic conditions, not the vaccine, at this point
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): stinging of skin, primarily on the face (like when I had Covid in January and February.
Release 8 — day 21, dose 2
Symptoms: My usual joint and muscle pain is significantly worse. I am experiencing significantly more angina and breathlessness (which I had before I had Covid in January, and before being vaccinated) to the extent that it's difficult to do normal activities cut off by CDC
Release 8 — day 28, dose 2
Symptoms: increased muscle aches and joint pain; calf cramping;
Release 8 — day 42, dose 2
Symptoms: Angina, breathlessness, muscle and joint pain
Release 10 — 6 months, dose 2
Symptoms: After an angioplasty I got a staph aureus bacteremia, that went to an old knee replacement, requiring knee debridement and replacement. After about a month of recovering at home I had a week of fevers, requiring hospitalization again. I'm now home cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: After angioplasty to place a stent, I developed staph aureus bacteremia that spread to my right knee resulting in existing knee replacement having to be replaced again. The angioplasty also caused a femoral pseudo aneurysm & had surgery to fix it. cut off by CDC
Release 12 — day 28, dose 5
Symptoms: I'm having significant shoulder pain and restricted movement on the right since my omicron booster, which seems to be getting worse
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 | Angina pectoris | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Injected limb mobility decreased | · | · | ✓ |
| SD | Joint debridement | · | · | ✓ |
| SD | Knee arthroplasty | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Staphylococcal bacteraemia | · | · | ✓ |
| SRO | Angina pectoris | ✓ | ✓ | ✓ |
| SRO | Cerebral small vessel ischaemic disease | ○ | ✓ | ○ |
| SRO | Condition aggravated | ✓ | · | ✓ |
| SRO | COVID-19 | ✓ | · | ✓ |
| SRO | Dyspnoea | ○ | ✓ | ○ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release