3Y2-32078-08204
5 vaccinations
12 coded responses
51 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 326 / FL
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-05
Dose 1 — Moderna
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2021-03-06
Registered in v-safe
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Soreness at injection locationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Sorness at injection site but much less than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-10
- 2021-03-11
- 2021-03-14
- 2021-03-19
- 2021-03-26
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2021-04-02
Dose 2 — Moderna
- 2021-04-02
- 2021-04-02
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: I felt a pretty strong blanket of fogginess cognitively right after the injection, but it seems to have subsided for the most part. I also experienced this same fogginess with the first injection but I did not realize it. It lasted for about 4 days total.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Vision blurred — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Fogginess and lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Lower respiratory tract infection, Nasal irrigation, Nasopharyngitis, Paranasal sinus discomfort, Respiratory tract congestion, Somnolence, Upper respiratory tract congestion — Feeling: FairFree text: On Sat after symptoms came on from the vaccine on Friday, i woke up with a stuffy head. Sunday i still felt groggy and had some sinus pressure. Yesterday (monday) i had severe sinus pressure and did some nasal irrigation, but felt like i had a cold. Today it has moved into my chest. So i guess this is now a chest cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Acupuncture, Lower respiratory tract infection — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Still have a little bit of a chest cold I guess. · Healthcare visit (other): I saw my accupuncturist yesterday. And im taking herbs to help me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Report sent to call center — days 1–6 daily, 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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2021-04-09
Survey response — day 7, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: All my other symptoms seem to have subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
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2021-04-23
Survey response — day 21, dose 2MedDRA: Odynophagia, Oropharyngeal pain, SARS-CoV-2 test negative, Sinusitis, Throat irritation — Feeling: Good · Be unable to do your normal daily activitiesFree text: I ended up getting some sort of infection in my sinuses; had a sore throat that hurt to swallow and burned. Ended up taking antiniotics and its helping alot. Pretty sure this has nothing to do with the vaccine. Also, got tested for covid and was neg.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 28, dose 2MedDRA: Fungal infection — Feeling: GoodFree text: Well, I've been dealing with a fungal issue in my sinuses for quite some time, and I recently learned that it apparently has not been fully resolved. Pretty sure this has nothing to do with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
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2021-12-15
Dose 3 — Moderna
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2021-12-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, 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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2021-12-17
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog — Feeling: Good · Site: PainFree text: Slight fogginess in my head, but otherwise feel mostly like myselfMedDRA releases: 2024-11 · check-in free text available
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-21
- 2021-12-24
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-03-16
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2022-03-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-06-15
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2022-07-18
Dose 4 — Moderna
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2022-10-28
Dose 5 — Pfizer-BioNTechCo-administered: Flu
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2022-10-29
Survey response — days 1–6 daily, dose 5MedDRA: Hyperhidrosis, Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activitiesFree text: I woke up soaked last night, but then the aches had finally subsided afterwards. It was about 17 hours after the shot. It is 2:35 pm right now and I got the vaccine 24 hours ago now. This assessment of symptoms is actually from last night.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-06
- 2022-11-11
- 2022-11-19
- 2022-11-25
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2022-12-02
Survey response — day 35, dose 5MedDRA: Chills, Headache, Hyperhidrosis, Influenza virus test negative, Malaise, Night sweats, Office visit, Pain, Pyrexia, Tremor — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I've been sick all week. Severe achiness, body shaking chills, high fever (102.6), drenched in sweat during sleep several nights, and nagging headache. · Healthcare visit (other): I went to my PCP. Tested me for flu. Neg. Just went to CVS for PCR. Waiting for results.MedDRA releases: 2024-11 · check-in free text available
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2022-12-02
Report sent to call center — day 35, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2022-12-05
Call successfulNot applicable - Accidental Reporting
- 2022-12-09
- 2023-01-29
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-12-15 | Moderna | No |
| 4 | 2022-07-18 | Moderna | No |
| 5 | 2022-10-28 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness at injection location
Systemic reaction (other): Sorness at injection site but much less than yesterday
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I felt a pretty strong blanket of fogginess cognitively right after the injection, but it seems to have subsided for the most part. I also experienced this same fogginess with the first injection but I did not realize it. It lasted for about 4 days total.
Systemic reaction (other): Fogginess and lack of appetite
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): On Sat after symptoms came on from the vaccine on Friday, i woke up with a stuffy head. Sunday i still felt groggy and had some sinus pressure. Yesterday (monday) i had severe sinus pressure and did some nasal irrigation, but felt like i had a cold. Today it has moved into my chest. So i guess this is now a chest cold.
Systemic reaction (other): Still have a little bit of a chest cold I guess.
Healthcare visit (other): I saw my accupuncturist yesterday. And im taking herbs to help me.
Release 7 — day 7, dose 2
Systemic reaction (other): All my other symptoms seem to have subsided.
Release 7 — day 21, dose 2
Symptoms: I ended up getting some sort of infection in my sinuses; had a sore throat that hurt to swallow and burned. Ended up taking antiniotics and its helping alot. Pretty sure this has nothing to do with the vaccine. Also, got tested for covid and was neg. cut off by CDC
Release 8 — day 28, dose 2
Symptoms: Well, I've been dealing with a fungal issue in my sinuses for quite some time, and I recently learned that it apparently has not been fully resolved. Pretty sure this has nothing to do with the vaccine.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Slight fogginess in my head, but otherwise feel mostly like myself
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I woke up soaked last night, but then the aches had finally subsided afterwards. It was about 17 hours after the shot. It is 2:35 pm right now and I got the vaccine 24 hours ago now. This assessment of symptoms is actually from last night.
Release 12 — day 35, dose 5
Symptoms: I've been sick all week. Severe achiness, body shaking chills, high fever (102.6), drenched in sweat during sleep several nights, and nagging headache.
Healthcare visit (other): I went to my PCP. Tested me for flu. Neg. Just went to CVS for PCR. Waiting for results.
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 | Acupuncture | ✓ | ✓ | ✓ |
| HCVO | Influenza virus test negative | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Fungal infection | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Odynophagia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SD | Tremor | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lower respiratory tract infection | ✓ | ✓ | ✓ |
| SRO | Nasal irrigation | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Upper respiratory tract congestion | ✓ | ✓ | ○ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release