3RE-10369-17666
7 vaccinations
33 coded responses
84 check-ins
31 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 666 / KS
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
B9C-41954-95138
Child or adolescent in my care · Male · 2021-08-18
Timeline
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2021-04-14
Registered in v-safe
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2021-04-14
Dose 1 — Moderna
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
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2021-05-14
Dose 2 — Moderna
- 2021-05-14
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2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms, Paraesthesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: tingling hands, low back crampsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: tingling fingers, sweating without feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: tingling fingersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Hyperhidrosis, Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: tingling fingers, sweating without fever, light-headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Paraesthesia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: tingling fingers, light-headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Paraesthesia — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: tingling hands, light-headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — day 7, dose 2MedDRA: Dizziness, Paraesthesia — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: tingling fingers, light-headednessMedDRA 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: Dizziness, Myalgia, Neuralgia, Paraesthesia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Nerve pain. Muscle aches got worse. I still have tingling fingers, light headedness, and muscle aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-08-13
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2021-08-16
Dose 3 — Moderna
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2021-08-18
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis, Paraesthesia, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: tingling fingers, sweating, fever yesterdayMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-19
Survey response — days 1–6 daily, dose 3MedDRA: Paraesthesia — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: tingly fingersMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-21
Survey response — days 1–6 daily, dose 3MedDRA: Paraesthesia — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: tingly fingersMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-22
Survey response — days 1–6 daily, dose 3MedDRA: Paraesthesia — Feeling: Good · Fatigue or tirednessFree text: tingly fingersMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-23
Survey response — day 7, dose 3MedDRA: Paraesthesia — Feeling: Good · Fatigue or tirednessFree text: tingly fingersMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-30
- 2021-09-06
- 2021-09-13
- 2021-09-20
- 2021-09-27
- 2021-11-15
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2022-01-17
Dose 4 — Moderna
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2022-01-18
Survey response — days 1–6 daily, dose 4MedDRA: Feeling hot, Hyperhidrosis — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sweating and feeling hot, but no fever.MedDRA releases: 2024-11 · check-in free text available
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2022-01-19
Survey response — days 1–6 daily, dose 4MedDRA: Feeling hot, Hyperhidrosis — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sweaty and feeling hot but without feverMedDRA releases: 2024-11 · check-in free text available
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2022-01-21
Survey response — days 1–6 daily, dose 4MedDRA: Feeling hot, Hyperhidrosis — Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessFree text: Sweaty and hot, but without feverMedDRA releases: 2024-11 · check-in free text available
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2022-01-22
Survey response — days 1–6 daily, dose 4MedDRA: Feeling hot, Hyperhidrosis — Feeling: Good · ChillsFree text: Sweaty and hot but without feverMedDRA releases: 2024-11 · check-in free text available
- 2022-01-23
- 2022-01-24
- 2022-01-31
- 2022-02-07
- 2022-02-14
- 2022-02-21
- 2022-02-28
- 2022-04-18
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2022-06-23
Dose 5 — Moderna
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2022-06-24
Survey response — days 1–6 daily, dose 5MedDRA: Feeling hot, Hyperhidrosis — Feeling: Fair · Site: Pain, Redness · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Hot and sweaty but without feverMedDRA releases: 2024-11 · check-in free text available
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2022-06-25
Survey response — days 1–6 daily, dose 5MedDRA: Feeling hot, Hyperhidrosis, Muscle spasms, Paraesthesia — Feeling: Good · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Hot and sweaty but without fever, tingly fingers, low back crampingMedDRA releases: 2024-11 · check-in free text available
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2022-06-26
Survey response — days 1–6 daily, dose 5MedDRA: Feeling hot, Hyperhidrosis, Paraesthesia — Feeling: Good · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Hot and sweaty without fever, tingly fingersMedDRA releases: 2024-11 · check-in free text available
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2022-06-27
Survey response — days 1–6 daily, dose 5MedDRA: Paraesthesia — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Tingly fingersMedDRA releases: 2024-11 · check-in free text available
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2022-06-28
Survey response — days 1–6 daily, dose 5MedDRA: Paraesthesia — Feeling: GoodFree text: Tingly fingers, maybe iron anemia symptom related to vaccineMedDRA releases: 2024-11 · check-in free text available
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2022-06-29
Survey response — days 1–6 daily, dose 5MedDRA: Paraesthesia — Feeling: GoodFree text: Tingly fingersMedDRA releases: 2024-11 · check-in free text available
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2022-06-30
Survey response — day 7, dose 5MedDRA: Paraesthesia — Feeling: GoodFree text: Tingly fingersMedDRA releases: 2024-11 · check-in free text available
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2022-07-07
Survey response — day 14, dose 5MedDRA: Epistaxis — Feeling: GoodFree text: Nose bleedMedDRA releases: 2024-11 · check-in free text available
- 2022-07-14
- 2022-07-21
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2022-07-28
Survey response — day 35, dose 5MedDRA: Iron deficiency anaemia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Iron deficiency anemia · Healthcare visit (other): Receive Iron infusionsMedDRA releases: 2024-11 · check-in free text available
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2022-07-28
Report sent to call center — day 35, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-07-29
Call successfulDoes not wish to fill out VAERS report
- 2022-08-04
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2022-09-15
Dose 6 — Moderna
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2022-09-17
Survey response — days 1–6 daily, dose 6MedDRA: Feeling hot, Hyperhidrosis — Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sweating and hot, but without fever.MedDRA releases: 2024-11 · check-in free text available
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2022-09-18
Health check-in — days 1–6 daily, dose 6Feeling: Good · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-19
Survey response — days 1–6 daily, dose 6MedDRA: Feeling hot, Hyperhidrosis — Feeling: Good · Fever · Muscle or body achesFree text: Hot and sweaty, but without feverMedDRA releases: 2024-11 · check-in free text available
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2022-09-20
Survey response — days 1–6 daily, dose 6MedDRA: Unevaluable event — Feeling: Good · FeverFree text: Thank you for my vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
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2022-09-29
Survey response — day 14, dose 6MedDRA: Sinusitis — Feeling: GoodFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
- 2022-10-13
- 2022-10-21
- 2022-10-27
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2022-12-17
Survey response — 3 months, dose 6MedDRA: Sinusitis, Tendonitis — Feeling: Good · 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 consultationFree text: Tendinitis, sinus infectionMedDRA releases: 2024-11 · check-in free text available
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2022-12-17
Report sent to call center — 3 months, dose 6Be 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 · 1 call case(s)
- 2022-12-20
- 2023-03-16
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2023-04-21
Dose 7 — Moderna
- 2023-04-21
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2023-04-22
Health check-in — days 1–6 daily, dose 7Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2023-04-23
Survey response — days 1–6 daily, dose 7MedDRA: Feeling hot, Hyperhidrosis — Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-04-24
Health check-in — days 1–6 daily, dose 7Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2023-04-25
Health check-in — days 1–6 daily, dose 7Feeling: Good · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2023-04-26
Survey response — days 1–6 daily, dose 7MedDRA: Epistaxis, Sinus pain, Sputum discoloured — Feeling: Good · HeadacheMedDRA releases: 2024-11
- 2023-04-27
- 2023-04-28
- 2023-05-05
- 2023-05-12
- 2023-05-19
- 2023-05-26
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2021-08-16 | Moderna | No |
| 4 | 2022-01-17 | Moderna | No |
| 5 | 2022-06-23 | Moderna | No |
| 6 | 2022-09-15 | Moderna | No |
| 7 | 2023-04-21 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): tingling hands, low back cramps
Systemic reaction (other): tingling fingers, sweating without fever
Systemic reaction (other): tingling fingers
Systemic reaction (other): tingling fingers, sweating without fever, light-headedness
Systemic reaction (other): tingling fingers, light-headedness
Systemic reaction (other): tingling hands, light-headedness
Release 8 — day 7, dose 2
Systemic reaction (other): tingling fingers, light-headedness
Release 8 — day 14, dose 2
Symptoms: Nerve pain. Muscle aches got worse. I still have tingling fingers, light headedness, and muscle aches.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): tingling fingers, sweating, fever yesterday
Systemic reaction (other): tingly fingers
Systemic reaction (other): tingly fingers
Systemic reaction (other): tingly fingers
Release 9 — day 7, dose 3
Systemic reaction (other): tingly fingers
Release 10 — days 1–6 daily, dose 4
Systemic reaction (other): Sweating and feeling hot, but no fever.
Systemic reaction (other): Sweaty and feeling hot but without fever
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Sweaty and hot, but without fever
Systemic reaction (other): Sweaty and hot but without fever
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Hot and sweaty but without fever
Systemic reaction (other): Hot and sweaty but without fever, tingly fingers, low back cramping
Systemic reaction (other): Hot and sweaty without fever, tingly fingers
Systemic reaction (other): Tingly fingers
Systemic reaction (other): Tingly fingers, maybe iron anemia symptom related to vaccine
Systemic reaction (other): Tingly fingers
Release 12 — day 7, dose 5
Systemic reaction (other): Tingly fingers
Release 12 — day 14, dose 5
Symptoms: Nose bleed
Release 12 — day 35, dose 5
Release 12 — days 1–6 daily, dose 6
Systemic reaction (other): Sweating and hot, but without fever.
Systemic reaction (other): Hot and sweaty, but without fever
Systemic reaction (other): Thank you for my vaccine
Release 12 — day 14, dose 6
Symptoms: Sinus infection
Release 12 — 3 months, dose 6
Symptoms: Tendinitis, sinus infection
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Iron deficiency anaemia | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Tendonitis | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Epistaxis | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | · | ✓ |
| SRO | Sinus pain | · | · | ✓ |
| SRO | Sputum discoloured | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release