3KT-29044-55365
5 vaccinations
12 coded responses
53 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 602 / IL
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
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2021-01-25
Dose 1 — Moderna
- 2021-01-25
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: GoodFree text: Trouble SleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-08
Survey response — day 14, dose 1MedDRA: Headache, Nausea — Feeling: GoodFree text: A bit nauseous, slight headache. Nothing terribleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-22
-
2021-02-24
Dose 2 — Moderna
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Chills, Freezing phenomenon, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: First day had freezing and uncontrollable shivers with stabbing pain in abdomen and thighs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
- 2021-03-01
- 2021-03-02
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2021-03-03
Health check-in — day 7, dose 2Feeling: Good · Site: Itching · Fever · Fatigue or tirednessAdult check-in
- 2021-03-10
- 2021-03-17
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2021-03-24
Survey response — day 28, dose 2MedDRA: Fatigue, Headache — Feeling: FairFree text: headache and fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
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2021-10-27
Dose 3 — Moderna
- 2022-02-24
-
2022-04-27
Dose 4 — Moderna
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2022-04-27
Survey response — day 0, dose 4MedDRA: No adverse event — Feeling: Good · Joint painsFree text: Just received the vaccine several hours ago and it's too early to report any symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Asthenia, Fatigue — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Weakness and extreme fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness, Headache, Musculoskeletal chest pain, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Dizzy and bad headache. Also, yesterday I had piercing, stabbing pains in my thighs and ribs but that has disappatedMedDRA releases: 2024-11 · check-in free text available
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2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
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2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-04
Health check-in — day 7, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2022-05-11
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2022-05-18
Survey response — day 21, dose 4MedDRA: Balance disorder, Dizziness — Feeling: GoodFree text: Slight dizziness and a feeling of being unbalancedMedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-06-01
- 2022-06-08
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2022-07-27
Survey response — 3 months, dose 4MedDRA: Arthralgia, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Terrible pain in left hip, will need MRI · Healthcare visit (other): Orthopedic surgeonMedDRA releases: 2024-11 · check-in free text available
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2022-07-27
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-28
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2022-09-21
Dose 5 — Pfizer-BioNTech
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2022-09-21
Survey response — day 0, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-09-22
Survey response — days 1–6 daily, dose 5MedDRA: Chills, Fatigue, Insomnia, Musculoskeletal chest pain, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Shivering with chills up and down spine. Extremely painful, piercing, needle like sensation in thighs and ribs. Fatigue but can't sleep.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-12-21
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2023-03-22
Survey response — 6 months, dose 5MedDRA: Headache, Oropharyngeal pain — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-27 | Moderna | No |
| 5 | 2022-09-21 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Trouble Sleeping
Release 3 — day 14, dose 1
Symptoms: A bit nauseous, slight headache. Nothing terrible
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): First day had freezing and uncontrollable shivers with stabbing pain in abdomen and thighs.
Release 6 — day 28, dose 2
Symptoms: headache and fatigue
Release 11 — day 0, dose 4
Systemic reaction (other): Just received the vaccine several hours ago and it's too early to report any symptoms.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Weakness and extreme fatigue
Systemic reaction (other): Dizzy and bad headache. Also, yesterday I had piercing, stabbing pains in my thighs and ribs but that has disappated
Release 11 — day 21, dose 4
Symptoms: Slight dizziness and a feeling of being unbalanced
Release 12 — 3 months, dose 4
Symptoms: Terrible pain in left hip, will need MRI
Healthcare visit (other): Orthopedic surgeon
Release 12 — day 0, dose 5
Systemic reaction (other): No
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Shivering with chills up and down spine. Extremely painful, piercing, needle like sensation in thighs and ribs. Fatigue but can't sleep.
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Freezing phenomenon | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release