3EW-44076-55485
5 vaccinations
13 coded responses
50 check-ins
13 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 341 / FL
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-16
Registered in v-safe
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2021-03-16
Dose 1 — Moderna
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2021-03-16
Health check-in — day 0, dose 1Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Injection site pain, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: I have autoimmune issue, but do not take medication. The symptoms are similar to the flare up, with the exception of the injection site painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Dizziness — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Felt dizzy and weak in the middle of the night when I got up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-30
- 2021-04-06
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2021-04-13
Dose 2 — Moderna
- 2021-04-13
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, 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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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · 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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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Site: Itching · Joint pains · Be unable to do your normal daily activitiesFree text: Other usual issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-20
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2021-04-27
Survey response — day 14, dose 2MedDRA: Asthenia, Injection site pruritus, Injection site rash, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Rash at injection site was very itchy, with more bumps I have autoimmune disease. I havent felt energetic since my second vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-27
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2021-07-15
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have auto immune disease. Im getting my normal mouth sores and headaches. This is not from the vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-12
Survey response — 6 months, dose 2MedDRA: Lower respiratory tract infection, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Have a very bad chest cold and sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-31
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site pain, Pre-existing disease — Feeling: Good · Site: Pain, ItchingFree text: I have a very sore, large red area around my flu injection site. I have autoimmune diseaseMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Extremely tired yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
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2021-11-13
Survey response — day 14, dose 3MedDRA: Eye pruritus, Fatigue — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Exhaustion and itchy eyesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-27
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2021-12-13
Survey response — day 42, dose 3MedDRA: Fatigue, Pre-existing disease — Feeling: FairFree text: I have autoimmune disease. I'm feeling exhausted.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-29
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2022-05-01
Survey response — 6 months, dose 3MedDRA: Blood pressure decreased, Pain in extremity, Syncope — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sudden drop of blood pressure, stabbing pain in leg, fainting in the middle of the night.MedDRA releases: 2024-11 · check-in free text available
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2022-05-22
Dose 4 — Pfizer-BioNTech
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2022-05-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2022-05-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal painAdult check-in
- 2022-05-27
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2022-05-28
Survey response — days 1–6 daily, dose 4MedDRA: Throat irritation — Feeling: Fair · Fatigue or tirednessFree text: Scratchy throatMedDRA releases: 2024-11 · check-in free text available
- 2022-06-05
- 2022-06-26
- 2022-07-05
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2022-08-21
Survey response — 3 months, dose 4MedDRA: Lethargy, Oropharyngeal pain, SARS-CoV-2 test negative, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had a severe sore throat snd sinus congestion. Felt very lethargic. Took 3 at home covid tests that were negative. Told them on days 1,2,and 3 of symptoms. Ran out of tests.MedDRA releases: 2024-11 · check-in free text available
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2022-10-08
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-20
- 2022-11-20
- 2023-01-08
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-10-30 | Pfizer-BioNTech | Flu |
| 4 | 2022-05-22 | Pfizer-BioNTech | No |
| 5 | 2022-10-08 | Pfizer-BioNTech | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have autoimmune issue, but do not take medication. The symptoms are similar to the flare up, with the exception of the injection site pain
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Felt dizzy and weak in the middle of the night when I got up.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Other usual issues
Release 8 — day 14, dose 2
Symptoms: Rash at injection site was very itchy, with more bumps I have autoimmune disease. I havent felt energetic since my second vaccine.
Release 9 — 3 months, dose 2
Symptoms: I have auto immune disease. Im getting my normal mouth sores and headaches. This is not from the vaccine.
Release 10 — 6 months, dose 2
Symptoms: Have a very bad chest cold and sore throat
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I have a very sore, large red area around my flu injection site. I have autoimmune disease
Systemic reaction (other): Extremely tired yesterday.
Release 10 — day 14, dose 3
Symptoms: Exhaustion and itchy eyes
Release 10 — day 42, dose 3
Symptoms: I have autoimmune disease. I'm feeling exhausted.
Release 11 — 6 months, dose 3
Symptoms: Sudden drop of blood pressure, stabbing pain in leg, fainting in the middle of the night.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Scratchy throat
Release 12 — 3 months, dose 4
Symptoms: I had a severe sore throat snd sinus congestion. Felt very lethargic. Took 3 at home covid tests that were negative. Told them on days 1,2,and 3 of symptoms. Ran out of tests.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Blood pressure decreased | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Syncope | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release