3R9-18157-29735
2 vaccinations
7 coded responses
19 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 617 / IL
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-15
Dose 1 — Moderna
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2021-04-16
Registered in v-safe
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2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Diarrhea, Abdominal painAdult check-in
- 2021-04-17
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2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Abdominal painFree text: I regularly have joint and muscle pain so cant say that it was or was not caused by the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Muscle or body achesFree text: I always have muscle pain. Not sure its related to the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-22
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2021-04-29
Survey response — day 14, dose 1MedDRA: Abdominal discomfort, Diarrhoea, Lymphadenopathy, Respiratory tract congestion, Sneezing — Feeling: FairFree text: Swollen lymph nodes in arm pit, same arm where shot was given. Congestion, sneezing, diarrhea, upset stomach.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-13
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2021-05-14
Dose 2 — Moderna
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2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: Office visit, Oropharyngeal pain, Paranasal sinus discomfort, Pruritus, Respiratory tract congestion — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Congestion, sore throat, sinus pressure, everything itches inside and outside my body · Healthcare visit (other): Doctors office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-21
Survey response — day 7, dose 2MedDRA: Ear pruritus, Eye pruritus, Nasal pruritus, Pruritus — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Still very itchy... skin, scalp, nose, eyes, earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — day 14, dose 2MedDRA: Cough, Dyspnoea, Eye pruritus, Headache, Medical counselling, Nasal congestion, Pruritus — Feeling: Poor · Be unable to work, 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: Symptoms: Its been 2 weeks since I got the vaccine. My head is fully congested, hard to breathe. Im very anxious, mostly because I feel like I cant breathe. I have a dry cough, headache and everything itches; eyes, ears, throat, skin scalp. · Healthcare visit (other): Phone, email and visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-08-13
- 2021-11-12
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2022-04-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-14
Survey response — 12 months, dose 2MedDRA: Asthenia, Confusional state, Dizziness, Myalgia, Office visit, Respiratory tract congestion, Tinnitus, Tremor — Feeling: Poor · Be unable to work or attend school, 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 visitFree text: Symptoms: Dizzy, confused, muscle aches/weakness, fullness in head, tinnitus, tremors · Healthcare visit (other): ENT, primary care, neurologist, audiologist, rheumatologistMedDRA releases: 2024-11 · check-in free text available
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2022-05-14
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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-16
- 2022-05-16
- 2022-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-14 | Moderna |
Call center
3 call center cases
2 successful · 1 unsuccessful
2 waits over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I regularly have joint and muscle pain so cant say that it was or was not caused by the vaccine.
Systemic reaction (other): I always have muscle pain. Not sure its related to the shot.
Release 8 — day 14, dose 1
Symptoms: Swollen lymph nodes in arm pit, same arm where shot was given. Congestion, sneezing, diarrhea, upset stomach.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Congestion, sore throat, sinus pressure, everything itches inside and outside my body
Healthcare visit (other): Doctors office visit
Release 8 — day 7, dose 2
Systemic reaction (other): Still very itchy... skin, scalp, nose, eyes, ears
Release 8 — day 14, dose 2
Symptoms: Its been 2 weeks since I got the vaccine. My head is fully congested, hard to breathe. Im very anxious, mostly because I feel like I cant breathe. I have a dry cough, headache and everything itches; eyes, ears, throat, skin scalp.
Healthcare visit (other): Phone, email and visit
Release 11 — 12 months, dose 2
Symptoms: Dizzy, confused, muscle aches/weakness, fullness in head, tinnitus, tremors
Healthcare visit (other): ENT, primary care, neurologist, audiologist, rheumatologist
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Confusional state | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Ear pruritus | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nasal pruritus | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release