43F-20233-58183
5 vaccinations
9 coded responses
67 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 900 / CA
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-04-01
Dose 1 — Moderna
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2021-04-01
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
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2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-08
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2021-04-15
Survey response — day 14, dose 1MedDRA: Injection site pain, Injection site pruritus — Feeling: GoodFree text: Injection site briefly became itchy 8 days (4/9/21) after shot and on 4/11/21 muscle around injection site was mildly painful for about 2 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-05-02
- 2021-05-03
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Exercise tolerance decreased, Muscle fatigue — Feeling: Good · HeadacheFree text: Thigh muscles and arm muscles fatigued quickly during regular walking/weightlifting workouts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Exercise tolerance decreased — Feeling: GoodFree text: Low stamina during walking workout.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Health check-in — day 7, dose 2Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-13
Survey response — day 14, dose 2MedDRA: Anosmia, Pre-existing disease — Feeling: GoodFree text: Suddenly realized I lost sense of smell shortly after 2nd dose. (I lost sense of smell in early February 2020 and regained it in March 2021. I also briefly lost sense of taste in early February 2020.) Sense of smell started to return last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-28
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
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2022-04-21
Dose 4 — Moderna
- 2022-04-21
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2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
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2022-04-28
Survey response — day 7, dose 4MedDRA: Anosmia, Reaction to previous exposure to any vaccine, Suspected COVID-19 — Feeling: GoodFree text: I just realized I lost my sense of smell after the booster. I've lost my sense of smell after each COVID vaccination dose. (Suspect I had COVID at end of February 2020)MedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-21
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2022-09-14
Dose 5 — ModernaCo-administered: Flu
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2022-09-14
Survey response — day 0, dose 5MedDRA: Ear pain — Feeling: Good · Site: PainFree text: EarachesMedDRA releases: 2024-11 · check-in free text available
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2022-09-16
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-09-18
Survey response — days 1–6 daily, dose 5MedDRA: Anosmia, Vaccine positive rechallenge — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Loss of smell - happened shortly after booster and has happened with all COVID vaccination shots.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-19
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2022-09-20
Survey response — days 1–6 daily, dose 5MedDRA: Anosmia — Feeling: GoodFree text: I still can't smell anything.MedDRA releases: 2024-11 · check-in free text available
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2022-09-21
Survey response — day 7, dose 5MedDRA: Anosmia — Feeling: GoodFree text: Still cannot smell.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-09-14 | Moderna | Flu |
Free text
Release 7 — day 14, dose 1
Symptoms: Injection site briefly became itchy 8 days (4/9/21) after shot and on 4/11/21 muscle around injection site was mildly painful for about 2 hours.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Thigh muscles and arm muscles fatigued quickly during regular walking/weightlifting workouts.
Systemic reaction (other): Low stamina during walking workout.
Release 8 — day 14, dose 2
Symptoms: Suddenly realized I lost sense of smell shortly after 2nd dose. (I lost sense of smell in early February 2020 and regained it in March 2021. I also briefly lost sense of taste in early February 2020.) Sense of smell started to return last night.
Release 11 — day 7, dose 4
Systemic reaction (other): I just realized I lost my sense of smell after the booster. I've lost my sense of smell after each COVID vaccination dose. (Suspect I had COVID at end of February 2020)
Release 12 — day 0, dose 5
Systemic reaction (other): Earaches
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Loss of smell - happened shortly after booster and has happened with all COVID vaccination shots.
Systemic reaction (other): I still can't smell anything.
Release 12 — day 7, dose 5
Systemic reaction (other): Still cannot smell.
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 | Anosmia | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Anosmia | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Exercise tolerance decreased | ✓ | ✓ | ✓ |
| SRO | Muscle fatigue | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Suspected COVID-19 | · | · | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release