44P-27067-04824
3 vaccinations
9 coded responses
33 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 198 / DE
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-01-26
Registered in v-safe
- 2021-01-26
- 2021-01-27
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Poor · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Occasional dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
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2021-02-23
Dose 2 — Moderna
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Joint pains · Be unable to do your normal daily activitiesAdult check-in
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Pruritus — Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Overall itchiness but I have eczema.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
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2021-04-06
Survey response — day 42, dose 2MedDRA: Dysphonia, Hypersensitivity — Feeling: FairFree text: Persistent hoarseness. I previously did not report it, attributing it to allergies. Even when allergies are under good control I am hoarse from morning to night since receiving covid vaccine. I will contact my internist about this symptom.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-08-24
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2021-10-26
Dose 3 — Moderna
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Heart rate is elevated sitting = 92-96. Walking or standing = 110-115MedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Redfish patch below injection site about 3 inches in diameter.MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Foggy minded.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Itching · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — day 7, dose 3MedDRA: Brain fog, Pre-existing disease, Tinnitus — Feeling: GoodFree text: Tinnitus, which also increased after my first two doses. Also mentally I'm still foggy minded but it is better.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-18
- 2021-11-23
- 2021-12-02
- 2021-12-07
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness
Systemic reaction (other): Occasional dizziness
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Overall itchiness but I have eczema.
Release 7 — day 42, dose 2
Symptoms: Persistent hoarseness. I previously did not report it, attributing it to allergies. Even when allergies are under good control I am hoarse from morning to night since receiving covid vaccine. I will contact my internist about this symptom.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Heart rate is elevated sitting = 92-96. Walking or standing = 110-115
Systemic reaction (other): Redfish patch below injection site about 3 inches in diameter.
Systemic reaction (other): Foggy minded.
Systemic reaction (other): Dizziness
Release 10 — day 7, dose 3
Systemic reaction (other): Tinnitus, which also increased after my first two doses. Also mentally I'm still foggy minded but it is better.
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 | Dysphonia | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release