4K5-28780-35173
4 vaccinations
11 coded responses
52 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 837 / ID
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-08
Dose 1 — Moderna
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2021-01-10
Registered in v-safe
- 2021-01-10
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint painsFree text: Left leg edema had prior to vaccine and joint stiffness that could be attributed to snowshoeing over weekendMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-13
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: GoodFree text: Rapid heart rate could be anxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-22
- 2021-01-29
- 2021-02-05
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2021-02-06
Dose 2 — Moderna
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2021-02-06
Survey response — day 0, dose 2MedDRA: Eye swelling, Immediate post-injection reaction, Paraesthesia oral, Sinusitis — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tirednessFree text: Swelling of right sinus and right eye. Tingling tongue and mouth 40 min after injMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Eye swelling, Swelling — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Might have had underlying sinus issue, have right sinus and right eye swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
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2021-02-20
Survey response — day 14, dose 2MedDRA: Discomfort, Rash, Rash erythematous, Rash papular — Feeling: GoodFree text: Rash on abdomen and flanks. Unsure if vaxx related, stress related or insect bite. Raised red papule with white head. Slightly uncomfortable, not itching. Not flat like hive.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: FairFree text: Had 2nd Shingrix shot, just feeling tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
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2021-03-13
Survey response — day 35, dose 2MedDRA: Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: UtiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-20
- 2021-05-08
- 2021-08-09
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2021-10-29
Dose 3 — ModernaCo-administered: Flu
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Extreme pain at injection site. Also received flu injection in same armMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Faeces soft — Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, DiarrheaFree text: Slight loose bowels. Not full onset of diarrhea.MedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
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2022-01-28
Survey response — 3 months, dose 3MedDRA: Headache, Paranasal sinus discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus pressure and headaches. Tested negative twiceMedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-31
- 2022-04-29
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2022-09-22
Dose 4 — Moderna
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2022-09-23
Survey response — days 1–6 daily, dose 4MedDRA: Appendicectomy, Incision site pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Internal Surgical sites from appendectomy in early June are a little painfulMedDRA releases: 2024-11 · check-in free text available
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2022-09-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
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2022-09-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-29
Health check-in — day 7, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesAdult check-in
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-10-29 | Moderna | Flu |
| 4 | 2022-09-22 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Left leg edema had prior to vaccine and joint stiffness that could be attributed to snowshoeing over weekend
Systemic reaction (other): Rapid heart rate could be anxiety
Release 3 — day 0, dose 2
Systemic reaction (other): Swelling of right sinus and right eye. Tingling tongue and mouth 40 min after inj
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Might have had underlying sinus issue, have right sinus and right eye swelling
Release 4 — day 14, dose 2
Symptoms: Rash on abdomen and flanks. Unsure if vaxx related, stress related or insect bite. Raised red papule with white head. Slightly uncomfortable, not itching. Not flat like hive.
Release 4 — day 21, dose 2
Symptoms: Had 2nd Shingrix shot, just feeling tired
Release 5 — day 35, dose 2
Symptoms: Uti
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Extreme pain at injection site. Also received flu injection in same arm
Systemic reaction (other): Slight loose bowels. Not full onset of diarrhea.
Release 11 — 3 months, dose 3
Symptoms: Sinus pressure and headaches. Tested negative twice
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Internal Surgical sites from appendectomy in early June are a little painful
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 | Discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Appendicectomy | · | · | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Faeces soft | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Incision site pain | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Joint stiffness | ○ | ○ | ○ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ○ | ○ | ○ |
| SRO | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release