3F9-20177-31993
2 vaccinations
13 coded responses
22 check-ins
13 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 334 / FL
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-02
Registered in v-safe
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2021-03-02
Dose 1 — Moderna
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2021-03-02
Survey response — day 0, dose 1MedDRA: Feeling abnormal — Feeling: Fair · HeadacheFree text: FogginessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Foggy at timesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Moderate bouts of dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Muscle or body achesFree text: Mild sporadic dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 7, dose 1MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Again some lightheadedness 2-3 times during the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
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2021-03-23
Survey response — day 21, dose 1MedDRA: Musculoskeletal stiffness, Nasopharyngitis, Pain, Self-medication — Feeling: FairFree text: I've had a stubborn head cold that started a day or two before the vaxx. I thought it was an allergy so I've been taking a small dose of Benadryl, 1/2 pill 2x a day. I still cant shake it. Feeling body aches & stiffness still.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Dose 2 — Moderna
- 2021-03-30
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Throat irritation — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: I have a scratchy throat and a coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia, Respiratory tract congestion, Self-medication, Throat irritation — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: After answering my questions yesterday, and around 7-8pm, i started feeling feverish i had 99.4 and it went down to 99.1 overnight. I did also developed a scratchy throat and a chest congestion (passed on to me by my son who lives with me). Today i started taking Robitussin a cough suppressant and it has helped a bit to do so.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Rhinorrhoea, Self-medication — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: This may be unrelated but ive had s runny nose that st times feels like a faucet. It subsides with Benadryl but I wonder if ghe vaccine has exacerbated it. My cough is getting better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — day 7, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body achesFree text: My bronchitis is running its course & don't need much expectorant anymore. Going for cataract surgery day after tomorrow. Hope it goes well...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-22
- 2021-04-27
- 2021-05-04
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2021-05-11
Survey response — day 42, dose 2MedDRA: Arthritis, Pre-existing disease, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My arthritis or whatever it is that's hurting my knees has become very much worse. Your next question asks if ive been unable to work. TG im retired coz i can hardly do any chores anymore... · Healthcare visit (other): Im seeing my primary doctor tomorrow and discuss it with herMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
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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2021-06-29
Survey response — 3 months, dose 2MedDRA: Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Im retired and don't have to work. I have days with a marked sleepiness, where i have to nap 3,4 times s day for an hour or more each tine. Don't know if it's related but it's something new to me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-28
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2022-04-01
Survey response — 12 months, dose 2MedDRA: Back pain, Cataract operation, Diplopia, Office visit, Vertebroplasty, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: After cataract surgery my left eye has blurred vision plus my double vision increased and neuro ophthalmologist couldn't help me. Going to a new doctor. Also, had a vertebroplasty with not much back pain relief afterwards.MedDRA releases: 2024-11 · check-in free text available
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2022-04-01
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Fogginess
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Foggy at times
Systemic reaction (other): Moderate bouts of dizziness
Systemic reaction (other): Mild sporadic dizziness
Release 5 — day 7, dose 1
Systemic reaction (other): Again some lightheadedness 2-3 times during the day.
Release 6 — day 21, dose 1
Symptoms: I've had a stubborn head cold that started a day or two before the vaxx. I thought it was an allergy so I've been taking a small dose of Benadryl, 1/2 pill 2x a day. I still cant shake it. Feeling body aches & stiffness still.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I have a scratchy throat and a cough
Systemic reaction (other): After answering my questions yesterday, and around 7-8pm, i started feeling feverish i had 99.4 and it went down to 99.1 overnight. I did also developed a scratchy throat and a chest congestion (passed on to me by my son who lives with me). Today i started taking Robitussin a cough suppressant and it has helped a bit to do so.
Systemic reaction (other): This may be unrelated but ive had s runny nose that st times feels like a faucet. It subsides with Benadryl but I wonder if ghe vaccine has exacerbated it. My cough is getting better.
Release 7 — day 7, dose 2
Systemic reaction (other): My bronchitis is running its course & don't need much expectorant anymore. Going for cataract surgery day after tomorrow. Hope it goes well...
Release 8 — day 42, dose 2
Symptoms: My arthritis or whatever it is that's hurting my knees has become very much worse. Your next question asks if ive been unable to work. TG im retired coz i can hardly do any chores anymore...
Healthcare visit (other): Im seeing my primary doctor tomorrow and discuss it with her
Release 9 — 3 months, dose 2
Symptoms: Im retired and don't have to work. I have days with a marked sleepiness, where i have to nap 3,4 times s day for an hour or more each tine. Don't know if it's related but it's something new to me.
Release 11 — 12 months, dose 2
Symptoms: After cataract surgery my left eye has blurred vision plus my double vision increased and neuro ophthalmologist couldn't help me. Going to a new doctor. Also, had a vertebroplasty with not much back pain relief afterwards.
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cataract operation | · | · | ✓ |
| SD | Diplopia | · | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Vertebroplasty | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release