3YU-97757-63889
5 vaccinations
18 coded responses
59 check-ins
18 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 613 / IL
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-04
Registered in v-safe
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2021-02-04
Dose 1 — Moderna
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2021-02-04
Health check-in — day 0, dose 1Feeling: Good · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema — Feeling: Fair · Site: Pain, Redness · HeadacheFree text: No but area around injection site quite red the diameter of half dollarMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema — Feeling: Fair · Site: Redness, Swelling · Chills, HeadacheFree text: Red circle still present around injection site about diameter of half dollarMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness · Headache, Muscle or body achesAdult check-in
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2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Muscle or body achesAdult check-in
- 2021-02-10
- 2021-02-11
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2021-02-18
Survey response — day 14, dose 1MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: FairFree text: Sore throat and sinus drainageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — day 21, dose 1MedDRA: Erythema, Pruritus — Feeling: FairFree text: 11 days after vaccine I got a 4 inch diameter red area on my vaccination site. It did not hurt but itched s little. Each day it faded a little. I can barely see it now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Dose 2 — Moderna
- 2021-03-04
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Nausea, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesFree text: Fever of 102 and nausea began at midnight and hasnt let upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-07
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Vaginal infection — Feeling: GoodFree text: Vaginal infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 7, dose 2MedDRA: Vaginal infection — Feeling: Good · Site: RednessFree text: Still battling vGinal infection I believe resulted from diahhreaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — day 14, dose 2MedDRA: Nausea — Feeling: FairFree text: I Wake up each morning with nausea but by afternoon it goes away. Ive had this a few weeks since vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 21, dose 2MedDRA: Diarrhoea — Feeling: FairFree text: Just diarrhea that has continued off and onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 28, dose 2MedDRA: Bone pain, Dyspepsia, Myalgia — Feeling: FairFree text: Lot of muscle and bone aches and indigestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-04-15
Survey response — day 42, dose 2MedDRA: Diarrhoea — Feeling: FairFree text: DiahrreaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-03
- 2021-09-02
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2021-11-01
Dose 3 — Moderna
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, NauseaAdult check-in
- 2021-11-04
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Vaccine positive rechallenge — Feeling: Fair · Site: Redness · FeverFree text: The red circle is 4 inches below the injection site and is about 6 inches diameter. No pain. I also had this kind of large red area 6 days after first vaccineMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Injection site rash — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Circle rash 3 inch diameter about 4 inches from injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
- 2021-11-08
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2021-11-15
Survey response — day 14, dose 3MedDRA: Urinary tract infection — Feeling: GoodFree text: Urinary tract infectionMedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Survey response — day 21, dose 3MedDRA: Urinary tract disorder — Feeling: FairFree text: Just continuing urinary tract problemsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
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2021-12-06
Survey response — day 35, dose 3MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Had as sore throat for couple days but no fever. I took a lot of vitamin c and it went away.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2022-01-31
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2022-06-20
Dose 4 — Moderna
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2022-06-22
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-06-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-06-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tirednessAdult check-in
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2022-06-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tirednessAdult check-in
- 2022-06-27
- 2022-07-04
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2022-07-11
Survey response — day 21, dose 4MedDRA: Diarrhoea, Nausea — Feeling: FairFree text: Nausea and loose bowelsMedDRA releases: 2024-11 · check-in free text available
- 2022-07-18
- 2022-07-25
- 2022-08-01
- 2022-09-19
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2022-10-13
Dose 5 — Moderna
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2022-10-15
Survey response — days 1–6 daily, dose 5MedDRA: Flushing — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Muscle or body aches, DiarrheaFree text: Face flushing yesterdayMedDRA releases: 2024-11 · check-in free text available
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2022-10-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Muscle or body aches, DiarrheaAdult check-in
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2022-10-17
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Muscle or body achesAdult check-in
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2022-10-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Muscle or body achesAdult check-in
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2022-10-20
Health check-in — day 7, dose 5Feeling: Fair · Chills, Headache, Muscle or body achesAdult check-in
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2023-01-12
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-06-20 | Moderna | No |
| 5 | 2022-10-13 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): No but area around injection site quite red the diameter of half dollar
Systemic reaction (other): Red circle still present around injection site about diameter of half dollar
Release 4 — day 14, dose 1
Symptoms: Sore throat and sinus drainage
Release 4 — day 21, dose 1
Symptoms: 11 days after vaccine I got a 4 inch diameter red area on my vaccination site. It did not hurt but itched s little. Each day it faded a little. I can barely see it now.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Fever of 102 and nausea began at midnight and hasnt let up
Systemic reaction (other): Vaginal infection
Release 5 — day 7, dose 2
Systemic reaction (other): Still battling vGinal infection I believe resulted from diahhrea
Release 5 — day 14, dose 2
Symptoms: I Wake up each morning with nausea but by afternoon it goes away. Ive had this a few weeks since vaccine.
Release 6 — day 21, dose 2
Symptoms: Just diarrhea that has continued off and on
Release 6 — day 28, dose 2
Symptoms: Lot of muscle and bone aches and indigestion
Release 7 — day 42, dose 2
Symptoms: Diahrrea
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The red circle is 4 inches below the injection site and is about 6 inches diameter. No pain. I also had this kind of large red area 6 days after first vaccine
Systemic reaction (other): Circle rash 3 inch diameter about 4 inches from injection site
Release 10 — day 14, dose 3
Symptoms: Urinary tract infection
Release 10 — day 21, dose 3
Symptoms: Just continuing urinary tract problems
Release 10 — day 35, dose 3
Symptoms: Had as sore throat for couple days but no fever. I took a lot of vitamin c and it went away.
Release 12 — day 21, dose 4
Symptoms: Nausea and loose bowels
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Face flushing yesterday
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 | Bone pain | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Urinary tract disorder | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Vaginal infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release