423-21791-90631
5 vaccinations
7 coded responses
58 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 105 / NY
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
LRK-16251-91464
Child or adolescent in my care · Male · 2022-01-21
6LD-19595-43625
Child or adolescent in my care · Female · 2022-01-21
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Moderna
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Hot flush, Night sweats — Feeling: Good · Site: PainFree text: My night time hot flashes were worse than normal. I sweated through my PJs which normally does not happen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Nausea, Pain in extremity — Feeling: Good · Site: Pain · NauseaFree text: I had mild nausea for about 2 hours after eating last night and through mid afternoon. This evening, I am finally no longer noticing my sore arm all the time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Headache, Sensitisation — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I haven't had a fever, but my body temperature was 0.2-0.4 above it's usual. I felt sensitive to temperature today and I have felt like a headache was coming on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-12
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Injection site pain is only if I touch or bang my arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-23
- 2021-07-09
- 2021-10-09
-
2021-12-03
Dose 3 — Moderna
- 2021-12-04
-
2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Fatigue or tirednessAdult check-in
-
2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-12-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-12-08
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-03-04
-
2022-04-29
Dose 4 — Moderna
- 2022-04-29
-
2022-04-30
Survey response — days 1–6 daily, dose 4MedDRA: Balance disorder, Dizziness — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Dizzy, off balanceMedDRA releases: 2024-11 · check-in free text available
-
2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
-
2022-05-13
Survey response — day 14, dose 4MedDRA: Fatigue, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Runny nose, congestion, EXHAUSTEDMedDRA releases: 2024-11 · check-in free text available
-
2022-05-21
Survey response — day 21, dose 4MedDRA: Cough, Dysgeusia, Fatigue, Rhinorrhoea, Unevaluable event — 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 professional · Outpatient clinic or urgent care clinic visitFree text: Gastro intestines, runny nose, cough, metallic taste, extremely fatiguedMedDRA releases: 2024-11 · check-in free text available
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2022-05-21
Report sent to call center — day 21, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-23
- 2022-05-26
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-07-29
- 2022-10-28
-
2022-11-10
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-27
- 2022-12-01
- 2022-12-09
- 2022-12-15
- 2022-12-22
- 2023-02-09
- 2023-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
| 5 | 2022-11-10 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My night time hot flashes were worse than normal. I sweated through my PJs which normally does not happen.
Systemic reaction (other): I had mild nausea for about 2 hours after eating last night and through mid afternoon. This evening, I am finally no longer noticing my sore arm all the time.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I haven't had a fever, but my body temperature was 0.2-0.4 above it's usual. I felt sensitive to temperature today and I have felt like a headache was coming on.
Systemic reaction (other): Injection site pain is only if I touch or bang my arm.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Dizzy, off balance
Release 11 — day 14, dose 4
Symptoms: Runny nose, congestion, EXHAUSTED
Release 11 — day 21, dose 4
Symptoms: Gastro intestines, runny nose, cough, metallic taste, extremely fatigued
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 | Cough | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sensitisation | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release