4MJ-26797-85063
5 vaccinations
6 coded responses
27 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 973 / OR
- Registered
- 2022-06-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Dose 1 — Moderna
-
2021-05-13
Dose 2 — Moderna
-
2021-10-29
Dose 3 — Moderna
-
2022-06-15
Registered in v-safe
-
2022-06-15
Dose 4 — Pfizer-BioNTech
- 2022-06-15
- 2022-06-17
-
2022-06-18
Survey response — days 1–6 daily, dose 4MedDRA: Body temperature decreased, Cough, Ear congestion, Night sweats, Pyrexia, Throat irritation, Vertigo — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: I have a stuffy ear, scratchy throat, minor cough, and the worst vertigo ive had in 6 years. I had very bad night sweats and felt feverish, but when i took my temp it was very low for me.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-19
Survey response — days 1–6 daily, dose 4MedDRA: Respiratory tract congestion, Vertigo — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Have a stuffy head, but no vertigo today.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-20
- 2022-06-21
- 2022-06-22
- 2022-07-01
- 2022-07-06
- 2022-07-13
- 2022-07-20
- 2022-07-27
- 2022-09-14
-
2022-11-29
Dose 5 — Moderna
- 2022-11-29
- 2022-11-30
-
2022-12-01
Survey response — days 1–6 daily, dose 5MedDRA: Pain — Feeling: Good · Muscle or body achesFree text: Only minor body aches a little more than usual.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-02
Survey response — days 1–6 daily, dose 5MedDRA: Adverse reaction, Somnolence — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: My symptoms were very mild but i did sleep a very long time, maybe 10 hours last night.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
-
2022-12-05
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Hypersomnia — Feeling: Good · Fatigue or tirednessFree text: I'm just sleeping extra long and very tired at the end of the day.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-06
- 2022-12-13
- 2022-12-20
- 2022-12-27
- 2023-01-03
- 2023-01-10
-
2023-02-28
Survey response — 3 months, dose 5MedDRA: COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Urinary tract infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | No |
| 2 | 2021-05-13 | Moderna | No |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-06-15 | Pfizer-BioNTech | No |
| 5 | 2022-11-29 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I have a stuffy ear, scratchy throat, minor cough, and the worst vertigo ive had in 6 years. I had very bad night sweats and felt feverish, but when i took my temp it was very low for me.
Systemic reaction (other): Have a stuffy head, but no vertigo today.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Only minor body aches a little more than usual.
Systemic reaction (other): My symptoms were very mild but i did sleep a very long time, maybe 10 hours last night.
Systemic reaction (other): I'm just sleeping extra long and very tired at the end of the day.
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 | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Ear congestion | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Hypersomnia | · | · | ✓ |
| SRO | Night sweats | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release