447-26681-53685
2 vaccinations
8 coded responses
23 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 151 / PA
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
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2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Headache, Lymphadenopathy, Myalgia, Nasal congestion, Pain in extremity, Paranasal sinus discomfort, Paranasal sinus hypersecretion, Pyrexia, Throat irritation — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Day 1 slight sore arm Day 2 one hive on opposite arm,Sore arm,Slight headache, sinus pressure, One nostril clogged and drainage, Irritated throat and ear, Sore lymph node underarm area same arm as shot. Muscle ache in shoulders and neck Slight Headache 101.8 fever Chills Day 3 7am temperature of 100.0 took Advil 7 pm temp 100.0 Day 4 no feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Tinnitus — Feeling: Good · Site: PainFree text: Ears ringing or chirping soundsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
- 2021-03-03
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2021-03-10
Dose 2 — Moderna
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2021-03-10
Survey response — day 0, dose 2MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Fever · Chills · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Chest tightness like an anxiety feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chest tightness and Swollen lymph node under vaccinated arm same symptoms as my first shot. FYI I had covid in November of 2020MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Hordeolum — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: Stye on RT eye , chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-16
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2021-03-17
Survey response — day 7, dose 2MedDRA: Chest discomfort — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
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2021-06-09
Survey response — 3 months, dose 2MedDRA: Tinnitus — Feeling: FairFree text: TinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-08
Survey response — 6 months, dose 2MedDRA: Arthralgia, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Worse joint and muscle painMedDRA releases: 2024-11 · check-in free text available
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2021-09-08
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Day 1 slight sore arm Day 2 one hive on opposite arm,Sore arm,Slight headache, sinus pressure, One nostril clogged and drainage, Irritated throat and ear, Sore lymph node underarm area same arm as shot. Muscle ache in shoulders and neck Slight Headache 101.8 fever Chills Day 3 7am temperature of 100.0 took Advil 7 pm temp 100.0 Day 4 no fever
Systemic reaction (other): Ears ringing or chirping sounds
Release 5 — day 0, dose 2
Systemic reaction (other): Chest tightness like an anxiety feeling
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Chest tightness and Swollen lymph node under vaccinated arm same symptoms as my first shot. FYI I had covid in November of 2020
Systemic reaction (other): Stye on RT eye , chest tightness
Release 5 — day 7, dose 2
Systemic reaction (other): Chest tightness
Release 9 — 3 months, dose 2
Symptoms: Tinnitus
Release 9 — 6 months, dose 2
Symptoms: Worse joint and muscle pain
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 | Arthralgia | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hordeolum | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release