395-57337-06557
4 vaccinations
11 coded responses
45 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 436 / OH
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-04
Registered in v-safe
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2021-03-04
Dose 1 — Moderna
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2021-03-04
Survey response — day 0, dose 1MedDRA: Feeling hot, Hypoaesthesia oral, Paraesthesia — Feeling: Fair · Site: Pain · FeverFree text: 10 min after vaccine ears were hot Face tingly and buttom lip numb. Stayed extra 15 min to be observed went home took benadryl work up 2 hrs latter fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-20
- 2021-03-25
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2021-04-01
Dose 2 — Moderna
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2021-04-01
Survey response — day 0, dose 2MedDRA: Hypoaesthesia — Feeling: GoodFree text: Face felt as thou I had novicaneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
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2021-05-13
Survey response — day 42, dose 2MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Diarrhea for 2 days blood movements for 20 hrs following the semi form stools for3 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-01
- 2021-09-30
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2021-10-27
Dose 3 — Moderna
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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, Redness, Swelling · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea — Feeling: Fair · Site: Pain, SwellingFree text: Diarreha yesterday wasnt I wasnt able to do the vsafeMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
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2021-12-01
Survey response — day 35, dose 3MedDRA: Fatigue, Mobility decreased — Feeling: Good · Be unable to do your normal daily activitiesFree text: 4 days of complete exhaustion middle to Dave's of those for spent in bed sleepingMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
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2022-01-26
Survey response — 3 months, dose 3MedDRA: Abdominal pain upper, Muscle spasms, Nausea — Feeling: FairFree text: Pain in the top of my stomach and bottom of my asophagus? Like muscal spasmand slight Nasea for 3 days now. If it doesnt go away soon I will call my doctor.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
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2022-05-03
Dose 4 — Moderna
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2022-05-19
Survey response — day 14, dose 4MedDRA: Chills, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache chills nausaMedDRA releases: 2024-11 · check-in free text available
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-14
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2022-08-02
Survey response — 3 months, dose 4MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sorethroat exhausting headache lasted for 5days cough lasted for 3 weeks. Tested 2x for covid neg. Have been back to normal the last 10 daysMedDRA releases: 2024-11 · check-in free text available
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2022-11-02
Survey response — 6 months, dose 4MedDRA: COVID-19, Diarrhoea, Exposure to SARS-CoV-2, Fatigue, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Recieved my 4th booster 9/30/22! End of oct had diarrhea ,slight fever, exhausted. Many friends had covid but I was neg?MedDRA releases: 2024-11 · check-in free text available
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2023-05-03
Survey response — 12 months, dose 4MedDRA: COVID-19, Fatigue, Pyrexia, Respiratory tract infection viral — Feeling: Good · 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 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-05-03 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): 10 min after vaccine ears were hot Face tingly and buttom lip numb. Stayed extra 15 min to be observed went home took benadryl work up 2 hrs latter fine.
Release 6 — day 0, dose 2
Systemic reaction (other): Face felt as thou I had novicane
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed
Release 8 — day 42, dose 2
Symptoms: Diarrhea for 2 days blood movements for 20 hrs following the semi form stools for3 days
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Diarreha yesterday wasnt I wasnt able to do the vsafe
Release 10 — day 35, dose 3
Symptoms: 4 days of complete exhaustion middle to Dave's of those for spent in bed sleeping
Release 11 — 3 months, dose 3
Symptoms: Pain in the top of my stomach and bottom of my asophagus? Like muscal spasmand slight Nasea for 3 days now. If it doesnt go away soon I will call my doctor.
Release 11 — day 14, dose 4
Symptoms: Headache chills nausa
Release 12 — 3 months, dose 4
Symptoms: Sorethroat exhausting headache lasted for 5days cough lasted for 3 weeks. Tested 2x for covid neg. Have been back to normal the last 10 days
Release 12 — 6 months, dose 4
Symptoms: Recieved my 4th booster 9/30/22! End of oct had diarrhea ,slight fever, exhausted. Many friends had covid but I was neg?
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 | Abdominal pain upper | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release