3WN-79674-16065
4 vaccinations
17 coded responses
54 check-ins
17 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 430 / OH
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2F4-76741-82455
Child or adolescent in my care · Female · 2021-11-06
Timeline
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2021-03-25
Registered in v-safe
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2021-03-25
Dose 1 — Moderna
- 2021-03-25
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Loose stools once, but not diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
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2021-04-08
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Constipation — Feeling: FairFree text: Stomach pains/constipationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
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2021-04-22
Dose 2 — Moderna
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2021-04-22
Survey response — day 0, dose 2MedDRA: Paraesthesia — Feeling: GoodFree text: Ring finger and pinky are tingling on arm of the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Sinus pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Sinus painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness, Abdominal painFree text: Woke up to having sweated so much my shirt, pillow and sheets were wet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tiredness, NauseaAdult check-in
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain — Feeling: GoodFree text: Chest pains yesterday and todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-13
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2021-05-20
Survey response — day 28, dose 2MedDRA: Chest pain — Feeling: GoodFree text: Chest pain while walking-cardioMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Survey response — day 35, dose 2MedDRA: Chest pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chest pains.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Survey response — day 42, dose 2MedDRA: Chest pain — Feeling: FairFree text: More chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-22
- 2021-10-21
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2021-11-12
Dose 3 — Moderna
- 2021-11-12
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2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Two sharp chest pains (flashes on pain zapping through)MedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
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2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
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2021-11-26
Survey response — day 14, dose 3MedDRA: Chest pain, Sleep disorder — Feeling: GoodFree text: Sharp chest pains in middle of the night, woke me up.MedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Survey response — day 21, dose 3MedDRA: Abdominal discomfort, Nausea — Feeling: FairFree text: Nausea and GI distressMedDRA releases: 2024-11 · check-in free text available
- 2021-12-12
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2021-12-17
Survey response — day 35, dose 3MedDRA: Chest pain — Feeling: FairFree text: Chest pains are getting worseMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2022-02-13
- 2022-05-15
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2022-09-07
Dose 4 — Pfizer-BioNTech
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2022-09-07
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
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2022-09-08
Survey response — days 1–6 daily, dose 4MedDRA: Oscillopsia, Visual impairment — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Vision is weird. Things are wiggling even though I know they are relatively stationaryMedDRA releases: 2024-11 · check-in free text available
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2022-09-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
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2022-09-11
Survey response — days 1–6 daily, dose 4MedDRA: Tenderness — Feeling: Good · Site: PainFree text: Armpit area feels bruised, only on left (same side of body shot given) Yesterday and today.MedDRA releases: 2024-11 · check-in free text available
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2022-09-12
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Visual impairment — Feeling: GoodFree text: Armpit soreness, visual disturbancesMedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
- 2022-09-21
- 2022-09-28
- 2022-10-05
- 2022-10-12
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2022-10-19
Survey response — day 42, dose 4MedDRA: Injection site pain — Feeling: GoodFree text: Pain at unjection site. Totally weird, but very evident.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-09-07 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Loose stools once, but not diarrhea
Release 7 — day 14, dose 1
Symptoms: Stomach pains/constipation
Release 7 — day 0, dose 2
Systemic reaction (other): Ring finger and pinky are tingling on arm of the shot.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sinus pain
Systemic reaction (other): Woke up to having sweated so much my shirt, pillow and sheets were wet.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Chest pains yesterday and today
Release 8 — day 28, dose 2
Symptoms: Chest pain while walking-cardio
Release 8 — day 35, dose 2
Symptoms: Chest pains.
Release 8 — day 42, dose 2
Symptoms: More chest pain
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Two sharp chest pains (flashes on pain zapping through)
Release 10 — day 14, dose 3
Symptoms: Sharp chest pains in middle of the night, woke me up.
Release 10 — day 21, dose 3
Symptoms: Nausea and GI distress
Release 10 — day 35, dose 3
Symptoms: Chest pains are getting worse
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Vision is weird. Things are wiggling even though I know they are relatively stationary
Systemic reaction (other): Armpit area feels bruised, only on left (same side of body shot given) Yesterday and today.
Systemic reaction (other): Armpit soreness, visual disturbances
Release 12 — day 42, dose 4
Symptoms: Pain at unjection site. Totally weird, but very evident.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Oscillopsia | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release