427-19454-51031
4 vaccinations
15 coded responses
54 check-ins
15 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 545 / WI
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
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
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-27
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Muscular weakness — Feeling: Good · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Muscle weakness for a few days as wellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-01
- 2021-04-08
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2021-04-15
Survey response — day 21, dose 1MedDRA: Arthralgia, Neuralgia, Pain of skin — Feeling: FairFree text: Skin/nerve pain in right inner wrist. Uncomfortable when my shirt touches it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Dose 2 — Moderna
- 2021-04-21
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-04-24
- 2021-04-25
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2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Auditory disorder, Fatigue, Hypoacusis, Insomnia, Malaise, Sleep disorder, Tinnitus — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Hearing problems in my left ear. Started last night, day 4. Muffled hearing, high pitched sound in left ear. Not sleeping well snd very tired snd out of sorts on day 5, Monday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Hyperacusis, Tinnitus — Feeling: GoodFree text: Hearing problem is better but the high ringing in my left ear is still there. Just not as bad as it first was.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — day 7, dose 2MedDRA: Condition aggravated, Hypoacusis, Paraesthesia, Pre-existing disease, Tinnitus — Feeling: FairFree text: Still have ringing and muffled sound in left ear but the muffled sound is not as bad. I also have nerve tingling in my right thigh in the side. Ive had it for a long time but since getting the shot it is really pronounced. VERY tingly!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — day 14, dose 2MedDRA: Arthralgia, Back pain, Dizziness, Fatigue, Hypoaesthesia, Muscular weakness, Paraesthesia — Feeling: FairFree text: Numbing and tingling in right leg/ thigh, and yesterday some on left as well as knee weakness. Also last night and this morning I had right side hip and lower back pain. Got better today. Right knee sore on outer side. Tired and dizzy at times as welMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — day 21, dose 2MedDRA: Acne, Hypoaesthesia, Paraesthesia, Rash, Rash erythematous — Feeling: GoodFree text: Red pimple like bumps on my face but theyve gone away. Numbness and tingling in legs is better than last week tho its still there in my right leg. And really tingling when I stand for awhile. I had an appt to se my Dr because of legs.CancelledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
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2021-05-26
Survey response — day 35, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Still have buzzing/humming in my ears... was low last week but higher the last couple of days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
- 2021-07-21
- 2021-10-22
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2021-11-03
Dose 3 — ModernaCo-administered: Flu
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ears ringingMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen and sore lymph nodes in my right armpit.MedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Lymph node pain, Sleep disorder — Feeling: Fair · Site: Pain, Redness · Muscle or body achesFree text: Pain last night of right side armpit due to lymph nodes. Had to sleep on left side. Very painful.MedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Fatigue or tiredness, DiarrheaAdult check-in
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Fair · Fatigue or tirednessFree text: Can't shake the cough I've had for 4 monthsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
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2021-11-11
Survey response — day 7, dose 3MedDRA: Cough — Feeling: FairFree text: Persistent cough that I've had for four months. It was particularly bad all night tonight.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
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2022-02-02
Survey response — 3 months, dose 3MedDRA: Tinnitus — Feeling: FairFree text: High pitched buzzing in both ears. Started 2-3 weeks ago.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
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2022-10-20
Dose 4 — ModernaCo-administered: Flu:Pneumonia:Shingles
- 2022-10-20
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2022-10-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2022-10-22
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-23
- 2022-10-24
- 2022-10-25
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2022-10-26
Survey response — days 1–6 daily, dose 4MedDRA: Toothache — Feeling: Poor · Fever · Headache, Fatigue or tiredness, DiarrheaFree text: Teeth hurtMedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
- 2022-11-05
- 2022-11-10
- 2022-11-19
- 2022-11-25
- 2022-12-01
- 2023-01-19
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-11-03 | Moderna | Flu |
| 4 | 2022-10-20 | Moderna | Flu:Pneumonia:Shingles |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle weakness for a few days as well
Release 7 — day 21, dose 1
Symptoms: Skin/nerve pain in right inner wrist. Uncomfortable when my shirt touches it.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Hearing problems in my left ear. Started last night, day 4. Muffled hearing, high pitched sound in left ear. Not sleeping well snd very tired snd out of sorts on day 5, Monday.
Systemic reaction (other): Hearing problem is better but the high ringing in my left ear is still there. Just not as bad as it first was.
Release 8 — day 7, dose 2
Systemic reaction (other): Still have ringing and muffled sound in left ear but the muffled sound is not as bad. I also have nerve tingling in my right thigh in the side. Ive had it for a long time but since getting the shot it is really pronounced. VERY tingly!
Release 8 — day 14, dose 2
Symptoms: Numbing and tingling in right leg/ thigh, and yesterday some on left as well as knee weakness. Also last night and this morning I had right side hip and lower back pain. Got better today. Right knee sore on outer side. Tired and dizzy at times as wel cut off by CDC
Release 8 — day 21, dose 2
Symptoms: Red pimple like bumps on my face but theyve gone away. Numbness and tingling in legs is better than last week tho its still there in my right leg. And really tingling when I stand for awhile. I had an appt to se my Dr because of legs.Cancelled
Release 8 — day 35, dose 2
Symptoms: Still have buzzing/humming in my ears... was low last week but higher the last couple of days.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Ears ringing
Systemic reaction (other): Swollen and sore lymph nodes in my right armpit.
Systemic reaction (other): Pain last night of right side armpit due to lymph nodes. Had to sleep on left side. Very painful.
Systemic reaction (other): Can't shake the cough I've had for 4 months
Release 10 — day 7, dose 3
Systemic reaction (other): Persistent cough that I've had for four months. It was particularly bad all night tonight.
Release 11 — 3 months, dose 3
Symptoms: High pitched buzzing in both ears. Started 2-3 weeks ago.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Teeth hurt
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 | Acne | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Pain of skin | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Auditory disorder | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hyperacusis | ✓ | ✓ | ✓ |
| SRO | Hypoacusis | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Malaise | ✓ | · | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ○ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Sleep disorder | ○ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Toothache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release