423-21199-34998
5 vaccinations
16 coded responses
54 check-ins
15 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 130 / NY
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-01-06
Registered in v-safe
- 2021-01-06
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Paronychia, Sleep disorder — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Paronychia deveoping great toe yesterday improving with topical antibiotic ointment Injection site pain strong enough to wake me overnight and better this afternoon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
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2021-01-12
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Muscle or body achesFree text: May be related to exerciseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — day 14, dose 1MedDRA: Back pain, Burning sensation, Stress at work — Feeling: GoodFree text: New upper back pain, burning, more likely due to work stressMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
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2021-02-02
Survey response — day 28, dose 1MedDRA: Limb injury, Limb operation, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Skiers thumb injury, surgery on 1/29 · Healthcare visit (other): As abocr Ortho consult and surgery to repairMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-03
Dose 2 — Moderna
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Tachycardia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Relative tachycardia, normal heart rate 50-60s, now mid 80sMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
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2021-02-24
Survey response — day 21, dose 2MedDRA: Eustachian tube dysfunction, Tinnitus — Feeling: FairFree text: Tinnitus and right ear cracking (eustachian tube dysfunction)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 35, dose 2MedDRA: Eustachian tube dysfunction, Pre-existing disease, Tinnitus — Feeling: GoodFree text: Continuing tinnitus and Eustachian tube dysfunction right earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 42, dose 2MedDRA: Eustachian tube disorder, Tinnitus — Feeling: FairFree text: Persistent tinnitus right ear. Not better, not worse Prior Eustachian tube cracklings is better. No obvious hearing loss.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-06-17
- 2021-08-06
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2021-11-04
Dose 3 — Moderna
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: Pain · HeadacheFree text: New pain in left Scilla onset 11/5, suggests lymphadenopathy but I don't feel a swollen noseMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: The spot in axilla yesterday that was sore now has mild swollen nodule consistent with mild lymphadenopathyMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Good · Muscle or body achesFree text: New left forearm painsame side as injection, not sure of causeMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-10
- 2021-11-11
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2021-11-18
Survey response — day 14, dose 3MedDRA: Tinnitus — Feeling: FairFree text: It's not worse but you need to know I have continued tinnitus since February, reported previously. It's mild, annoying, but persistentMedDRA releases: 2024-11 · check-in free text available
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2021-11-25
Survey response — day 21, dose 3MedDRA: Tinnitus — Feeling: GoodFree text: Tinnitus persists. I have a doctor appointment in early January. If still present will address. I'm also a doctor.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
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2022-03-31
Dose 4 — Moderna
- 2022-04-19
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-06-30
- 2022-09-29
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2022-10-08
Dose 5 — Moderna
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2022-10-09
Survey response — days 1–6 daily, dose 5MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Axillary pain without swelling on the same side as vaccine was receivedMedDRA releases: 2024-11 · check-in free text available
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2022-10-11
Survey response — days 1–6 daily, dose 5MedDRA: Injection site bruising — Feeling: GoodFree text: 5cm bruise at site of injectionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-12
- 2022-10-14
- 2022-10-15
- 2022-10-22
- 2022-10-31
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2023-01-07
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2023-04-08
Survey response — 6 months, dose 5MedDRA: COVID-19 — 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 consultationMedDRA releases: 2024-11
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2023-04-08
Report sent to call center — 6 months, dose 5Be 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)
- 2023-04-11
- 2023-04-11
- 2023-05-02
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-03-31 | Moderna | No |
| 5 | 2022-10-08 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Paronychia deveoping great toe yesterday improving with topical antibiotic ointment Injection site pain strong enough to wake me overnight and better this afternoon.
Release 1 — day 7, dose 1
Systemic reaction (other): May be related to exercise
Release 2 — day 14, dose 1
Symptoms: New upper back pain, burning, more likely due to work stress
Release 3 — day 28, dose 1
Symptoms: Skiers thumb injury, surgery on 1/29
Healthcare visit (other): As abocr Ortho consult and surgery to repair
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Relative tachycardia, normal heart rate 50-60s, now mid 80s
Release 4 — day 21, dose 2
Symptoms: Tinnitus and right ear cracking (eustachian tube dysfunction)
Release 5 — day 35, dose 2
Symptoms: Continuing tinnitus and Eustachian tube dysfunction right ear
Release 5 — day 42, dose 2
Symptoms: Persistent tinnitus right ear. Not better, not worse Prior Eustachian tube cracklings is better. No obvious hearing loss.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): New pain in left Scilla onset 11/5, suggests lymphadenopathy but I don't feel a swollen nose
Systemic reaction (other): The spot in axilla yesterday that was sore now has mild swollen nodule consistent with mild lymphadenopathy
Systemic reaction (other): New left forearm painsame side as injection, not sure of cause
Release 10 — day 14, dose 3
Symptoms: It's not worse but you need to know I have continued tinnitus since February, reported previously. It's mild, annoying, but persistent
Release 10 — day 21, dose 3
Symptoms: Tinnitus persists. I have a doctor appointment in early January. If still present will address. I'm also a doctor.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Axillary pain without swelling on the same side as vaccine was received
Systemic reaction (other): 5cm bruise at site of injection
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Eustachian tube disorder | ✓ | ✓ | ✓ |
| SD | Eustachian tube dysfunction | ✓ | ✓ | ✓ |
| SD | Limb injury | ✓ | ✓ | ✓ |
| SD | Limb operation | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Stress at work | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Paronychia | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release