4P4-49160-33790
4 vaccinations
15 coded responses
46 check-ins
14 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 051 / VT
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-09
Registered in v-safe
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2021-03-09
Dose 1 — Moderna
- 2021-03-09
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Taste disorder — Feeling: Good · Fever · Headache, Fatigue or tirednessFree text: My food tastes off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Fever · Headache, Fatigue or tirednessFree text: Got bit by a tick so received medical attention and had to take a strong antibioticMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
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2021-04-06
Dose 2 — Moderna
- 2021-04-06
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Ears ringing loudly and dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still a little dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-06
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2021-10-05
Survey response — 6 months, dose 2MedDRA: Abdominal pain upper, Headache, Muscle spasms, Nasal congestion, Nausea, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches Swollen sinuses & stuffy nasal passages Stomach cramps & nausea Muscle crampsMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Dose 3 — Moderna
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog, Fatigue, Somnolence — Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mentally foggy and feel tired and sleepyMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Headache, Mental disorder — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Headache & dizziness & mentalky skowMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Ears ringingMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Rhinorrhoea, Sinus disorder, Sneezing — Feeling: Good · HeadacheFree text: Sinus issues- runny nose and a little sneezingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-05
- 2021-11-06
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2021-11-13
Survey response — day 14, dose 3MedDRA: Fatigue, Rhinorrhoea, Sinus disorder, Sneezing, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus issues. Runny nose, sneezing, and very tired and sleepy. Had to lie down and take a napMedDRA releases: 2024-11 · check-in free text available
- 2021-11-20
- 2021-11-27
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2021-12-04
Survey response — day 35, dose 3MedDRA: Fatigue, Headache, Somnolence — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headache night and day and fatigue- tired and sleepyMedDRA releases: 2024-11 · check-in free text available
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2021-12-11
Survey response — day 42, dose 3MedDRA: Diarrhoea, Headache, Respiratory tract congestion, Rhinorrhoea, Sinus disorder, Sneezing — Feeling: GoodFree text: Sinus issues- runny nose. Sneezing. Congested. Headaches. And now diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-01-30
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2022-04-03
Dose 4 — Moderna
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2022-04-19
Survey response — day 14, dose 4MedDRA: Decreased appetite, Fatigue, Hypersomnia, Injection site pain, Joint stiffness, Mobility decreased — Feeling: Good · Be unable to do your normal daily activitiesFree text: joint stiffness, severe at times. After the 4th shot had injection site soreness, fatigue, loss of appetite. Slept and stayed in bed for 48 hours. After that was fineMedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Survey response — day 21, dose 4MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Joint painMedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-07-03
- 2022-10-02
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2023-04-05
Survey response — 12 months, dose 4MedDRA: Headache, Medical counselling, Rhinorrhoea, Sinus congestion, Sinus disorder, Sneezing — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-04-05
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-03 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My food tastes off.
Systemic reaction (other): Got bit by a tick so received medical attention and had to take a strong antibiotic
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Ears ringing loudly and dizziness
Systemic reaction (other): Still a little dizzy
Release 10 — 6 months, dose 2
Symptoms: Headaches Swollen sinuses & stuffy nasal passages Stomach cramps & nausea Muscle cramps
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Mentally foggy and feel tired and sleepy
Systemic reaction (other): Headache & dizziness & mentalky skow
Systemic reaction (other): Ears ringing
Systemic reaction (other): Sinus issues- runny nose and a little sneezing
Release 10 — day 14, dose 3
Symptoms: Sinus issues. Runny nose, sneezing, and very tired and sleepy. Had to lie down and take a nap
Release 10 — day 35, dose 3
Symptoms: Headache night and day and fatigue- tired and sleepy
Release 10 — day 42, dose 3
Symptoms: Sinus issues- runny nose. Sneezing. Congested. Headaches. And now diarrhea
Release 11 — day 14, dose 4
Symptoms: joint stiffness, severe at times. After the 4th shot had injection site soreness, fatigue, loss of appetite. Slept and stayed in bed for 48 hours. After that was fine
Release 11 — day 21, dose 4
Symptoms: Joint pain
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Mental disorder | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sinus disorder | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release