4R4-29159-62581
4 vaccinations
13 coded responses
41 check-ins
13 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 953 / CA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-25
Registered in v-safe
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2021-02-25
Dose 1 — Moderna
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2021-02-25
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Fair · Fatigue or tirednessFree text: Fatigue from stress I run a restaurantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
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2021-03-25
Dose 2 — Moderna
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2021-03-25
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
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, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-04
- 2021-04-09
- 2021-04-15
- 2021-04-23
- 2021-04-29
- 2021-05-06
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2021-06-26
Survey response — 3 months, dose 2MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throat. It could be allergies. I removed my mask on 6-15 but put it back on due to my sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-23
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2021-12-02
Dose 3 — Moderna
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2021-12-03
Survey response — days 1–6 daily, dose 3MedDRA: Pain in jaw — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pain in my jaw on the same side where I was injected.MedDRA releases: 2024-11 · check-in free text available
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2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: Ringing in the earsMedDRA releases: 2024-11 · check-in free text available
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2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Muscle strain, Musculoskeletal stiffness — Feeling: Good · Site: PainFree text: Muscles not aching but very stiff; pulled my hamstring as a result. Swollen lymph node on same side as injection.MedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Tinnitus — Feeling: Good · Site: Pain · Muscle or body achesFree text: Lymph node swelling. Occasional ringing in ears.MedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen Lymph node on same side as injectionMedDRA releases: 2024-11 · check-in free text available
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2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Herpes zoster — Feeling: GoodFree text: I need to report that I got shingles a couple months after my second moderna shot.MedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Survey response — day 7, dose 3MedDRA: Muscle strain, Tinnitus — Feeling: Good · Muscle or body achesFree text: Pulled hamstring, unrelated to vaccine. Have intermittent ringing in ears, vaccine related?MedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Survey response — day 14, dose 3MedDRA: Burning sensation, Pruritus, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Itchy back, burning back.. Last time I had itching and burning it turned into shingles. The shingles case was mild. I didn't report it to you at the cdc. Because it took a while to turn into shingles and at first I thought it was bug bites.MedDRA releases: 2024-11 · check-in free text available
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2021-12-23
Survey response — day 21, dose 3MedDRA: Pre-existing disease, Pruritus — Feeling: GoodFree text: Itching back on one side, this has been mild shingles in the past.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
- 2022-01-08
- 2022-01-13
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2022-03-03
Survey response — 3 months, dose 3MedDRA: Tinnitus — Feeling: GoodFree text: Ringing in ears. Noise in head. Never had it before, started with 3rd shot. Have reported it previously. Still happening all the time.MedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Dose 4 — Moderna
- 2022-12-02
- 2022-12-02
- 2022-12-07
- 2023-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-10-26 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue from stress I run a restaurant
Release 6 — day 0, dose 2
Systemic reaction (other): Dizziness
Release 9 — 3 months, dose 2
Symptoms: Sore throat. It could be allergies. I removed my mask on 6-15 but put it back on due to my sore throat.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain in my jaw on the same side where I was injected.
Systemic reaction (other): Ringing in the ears
Systemic reaction (other): Muscles not aching but very stiff; pulled my hamstring as a result. Swollen lymph node on same side as injection.
Systemic reaction (other): Lymph node swelling. Occasional ringing in ears.
Systemic reaction (other): Swollen Lymph node on same side as injection
Systemic reaction (other): I need to report that I got shingles a couple months after my second moderna shot.
Release 10 — day 7, dose 3
Systemic reaction (other): Pulled hamstring, unrelated to vaccine. Have intermittent ringing in ears, vaccine related?
Release 10 — day 14, dose 3
Symptoms: Itchy back, burning back.. Last time I had itching and burning it turned into shingles. The shingles case was mild. I didn't report it to you at the cdc. Because it took a while to turn into shingles and at first I thought it was bug bites.
Release 10 — day 21, dose 3
Symptoms: Itching back on one side, this has been mild shingles in the past.
Release 11 — 3 months, dose 3
Symptoms: Ringing in ears. Noise in head. Never had it before, started with 3rd shot. Have reported it previously. Still happening all the time.
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 | Burning sensation | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Muscle strain | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Pain in jaw | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release