48D-40027-48576
3 vaccinations
7 coded responses
40 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 537 / WI
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-28
Registered in v-safe
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2021-03-28
Dose 1 — Moderna
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus, Oral pruritus, Pruritus, Rhinorrhoea, Sneezing, Throat irritation, Tongue pruritus — Feeling: Good · Headache, Fatigue or tirednessFree text: Itchy tongue and inside mouth and throat, itchy palms, itchy eyes and sneezing and runny nose. Could be allergies though?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea, Sneezing — Feeling: Good · Headache, Fatigue or tirednessFree text: Runny nose and sneezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-04-05
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-04-11
- 2021-04-19
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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: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Pruritus — Feeling: Good · Headache, NauseaFree text: Itchy palms and allergy-like symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Eye pruritus, Pruritus, Rash, Throat irritation — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Itchy palms, allergy-like symptoms, itchy throat inside mouth and lips, itchy all over including eyes, and mild rash on stomachMedDRA 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: Hypersensitivity, Lip pruritus, Pruritus — Feeling: Good · Site: PainFree text: Allergy-like symptoms, itchy palms, itchy body, itchy lips and mouthMedDRA 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: Hypersensitivity — Feeling: Good · Site: PainFree text: Allergy-like symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-20
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2021-12-15
Dose 3 — Moderna
- 2021-12-15
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2021-12-16
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-12-17
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-03-16
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2022-06-15
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Got COVIDMedDRA releases: 2024-11 · check-in free text available
- 2022-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-28 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-12-15 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Itchy tongue and inside mouth and throat, itchy palms, itchy eyes and sneezing and runny nose. Could be allergies though?
Systemic reaction (other): Runny nose and sneezing
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Itchy palms and allergy-like symptoms
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Itchy palms, allergy-like symptoms, itchy throat inside mouth and lips, itchy all over including eyes, and mild rash on stomach
Systemic reaction (other): Allergy-like symptoms, itchy palms, itchy body, itchy lips and mouth
Release 8 — day 7, dose 2
Systemic reaction (other): Allergy-like symptoms
Release 12 — 6 months, dose 3
Symptoms: Got COVID
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 | COVID-19 | · | · | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Lip pruritus | ✓ | ✓ | ✓ |
| SRO | Oral pruritus | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Tongue pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release