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4GV-84287-04178

5 vaccinations 17 coded responses 40 check-ins 17 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
021 / MA
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Registered in v-safe
  2. 2021-02-25
    Dose 1 — Moderna
  3. 2021-02-25
    Survey response — day 0, dose 1
    MedDRA: Dizziness, Vertigo — Feeling: Fair · Joint pains
    Free text: Lightheadedness/vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work
    Adult check-in
  5. 2021-02-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to work
    Free text: Lightheadedness/vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  8. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  9. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  10. 2021-03-04
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work
    Adult check-in
  11. 2021-03-11
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-18
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-03-25
    Dose 2 — Moderna
  14. 2021-03-25
    Survey response — day 0, dose 2
    MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Lightheadedness/vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Lightheadedness/vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  18. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Lightheadedness/vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Vertigo — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work
    Free text: Lightheadedness/vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Vertigo — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Lightheadedness/vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  22. 2021-04-08
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-04-15
    Survey response — day 21, dose 2
    MedDRA: Chest discomfort, Eye pruritus, Oropharyngeal pain, Pre-existing disease, Seasonal allergy, Sinus congestion, Wheezing — Feeling: Poor
    Free text: Sore throat, asthma symptoms (chest tightness, wheezing), itchy eyes, sinus congestion (all likely related to my allergies to tree pollen)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-22
    Survey response — day 28, dose 2
    MedDRA: Asthma, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair
    Free text: Seasonal allergies (slightly sore throat, congested, mild asthma)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-05-06
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-09-23
    Survey response — 6 months, dose 2
    MedDRA: Ligament sprain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Sprained fingers of right hand
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-09-23
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  30. 2021-09-27
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  31. 2021-11-03
    Dose 3 — Moderna
  32. 2022-03-25
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in
  33. 2022-05-04
    Survey response — 6 months, dose 3
    MedDRA: Chest pain, Pre-existing disease, Vertigo, Viral infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Unknown virus likely caused severe vertigo (lasting about 6 days, unlike my usual labyrithitis and not responsive to meclizine or phenergen) and pleurisy (severe symptoms for about 1.5 weeks, still lingering chest pain after 3 weeks).
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-05-04
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  35. 2022-05-05
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  36. 2022-05-11
    Dose 4 — Moderna
  37. 2022-09-27
    Dose 5 — Pfizer-BioNTech
  38. 2022-09-29
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  39. 2022-09-30
    Survey response — days 1–6 daily, dose 5
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Dizziness, lightheadedness
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-10-01
    Survey response — days 1–6 daily, dose 5
    MedDRA: Dizziness — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Dizziness, lightheadedness
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-10-02
    Survey response — days 1–6 daily, dose 5
    MedDRA: Dizziness — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: Lightheadedness
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-10-03
    Survey response — days 1–6 daily, dose 5
    MedDRA: Dizziness — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Dizziness, lightheadedness
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-10-04
    Survey response — day 7, dose 5
    MedDRA: Dizziness — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-10-11
    Health check-in — day 14, dose 5
    Feeling: Fair
    Adult check-in
  45. 2022-10-18
    Health check-in — day 21, dose 5
    Feeling: Fair
    Adult check-in
  46. 2022-10-25
    Health check-in — day 28, dose 5
    Feeling: Fair
    Adult check-in
  47. 2022-11-01
    Health check-in — day 35, dose 5
    Feeling: Fair
    Adult check-in
  48. 2022-11-10
    Health check-in — day 42, dose 5
    Feeling: Fair
    Adult check-in
  49. 2022-12-27
    Health check-in — 3 months, dose 5
    Feeling: Fair
    Adult check-in
  50. 2023-03-28
    Health check-in — 6 months, dose 5
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-25Moderna
32021-11-03Moderna No
42022-05-11Moderna No
52022-09-27Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-25

Systemic reaction (other): Lightheadedness/vertigo

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Lightheadedness/vertigo

Release 6 — day 0, dose 2

2021-03-25

Systemic reaction (other): Lightheadedness/vertigo

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Dizziness

2021-03-27

Systemic reaction (other): Lightheadedness/vertigo

2021-03-29

Systemic reaction (other): Lightheadedness/vertigo

2021-03-30

Systemic reaction (other): Lightheadedness/vertigo

2021-03-31

Systemic reaction (other): Lightheadedness/vertigo

Release 7 — day 21, dose 2

2021-04-15

Symptoms: Sore throat, asthma symptoms (chest tightness, wheezing), itchy eyes, sinus congestion (all likely related to my allergies to tree pollen)

Release 7 — day 28, dose 2

2021-04-22

Symptoms: Seasonal allergies (slightly sore throat, congested, mild asthma)

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: Sprained fingers of right hand

Release 11 — 6 months, dose 3

2022-05-04

Symptoms: Unknown virus likely caused severe vertigo (lasting about 6 days, unlike my usual labyrithitis and not responsive to meclizine or phenergen) and pleurisy (severe symptoms for about 1.5 weeks, still lingering chest pain after 3 weeks).

Release 12 — days 1–6 daily, dose 5

2022-09-30

Systemic reaction (other): Dizziness, lightheadedness

2022-10-01

Systemic reaction (other): Dizziness, lightheadedness

2022-10-02

Systemic reaction (other): Lightheadedness

2022-10-03

Systemic reaction (other): Dizziness, lightheadedness

Release 12 — day 7, dose 5

2022-10-04

Systemic reaction (other): Dizziness

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

FieldPreferred term2021-092023-042024-11
SDAsthma ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDChest pain · · ✓
SDEye pruritus ✓ ✓ ✓
SDLigament sprain · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSeasonal allergy ✓ ✓ ✓
SDSinus congestion ✓ ✓ ✓
SDVertigo · · ✓
SDViral infection · · ✓
SDWheezing ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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