4RG-48712-70706
5 vaccinations
24 coded responses
67 check-ins
24 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 891 / NV
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-17
Dose 1 — Moderna
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2021-03-18
Registered in v-safe
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-25
- 2021-03-31
- 2021-04-07
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2021-04-14
Dose 2 — Moderna
- 2021-04-14
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Dizziness, Headache, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I have very painful lower backache. Headache. Dizzoiness. Pain on my arm and everywhere. Extra.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very painful lower back ache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body achesAdult check-in
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2021-04-21
Survey response — day 7, dose 2MedDRA: Erythema — Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The redness is under my Breast.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
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2021-05-12
Survey response — day 28, dose 2MedDRA: Back pain, Dysstasia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: My lower backache is very painful. Getting up is very hard.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — day 35, dose 2MedDRA: Back pain — Feeling: FairFree text: My lower back still hurts a little bit. I can't afford to see a doctor due to the balance I have to pay.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — day 42, dose 2MedDRA: Fatigue, Muscle fatigue — Feeling: FairFree text: I am tired all the time, especially on my leg. This a new experience I am having after my second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-14
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2021-10-13
Survey response — 6 months, dose 2MedDRA: Back pain, Nasopharyngitis — Feeling: GoodFree text: Cold and back achesMedDRA releases: 2024-11 · check-in free text available
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2021-10-22
Dose 3 — ModernaCo-administered: Flu
- 2021-10-23
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2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
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2021-11-19
Survey response — day 28, dose 3MedDRA: Cough, Nasopharyngitis — Feeling: FairFree text: Serious Cold and Cough.MedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Survey response — day 35, dose 3MedDRA: Cough, Feeling cold — Feeling: FairFree text: Still Cold and cough.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2022-01-21
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2022-04-02
Dose 4 — Moderna
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2022-04-02
Health check-in — day 0, dose 4Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2022-04-03
Survey response — days 1–6 daily, dose 4MedDRA: Muscle spasms — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Muscle spasms at the back of my leg.MedDRA releases: 2024-11 · check-in free text available
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2022-04-04
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Increased upper airway secretion — Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessFree text: Cough and mucus that seems come just from my throat. The color is plain white.MedDRA releases: 2024-11 · check-in free text available
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2022-04-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
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2022-04-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-07
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Productive cough, Secretion discharge — Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessFree text: I have been coughing and spit mucus since the first vaccination which I didn't relate it with the vaccine until last night. It ha been consistent and irritating.MedDRA releases: 2024-11 · check-in free text available
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2022-04-08
Survey response — days 1–6 daily, dose 4MedDRA: Productive cough — Feeling: Fair · Site: Itching · Joint pains, Fatigue or tirednessFree text: Yesterday I told you that I have coughing and spitting mucus since the first vaccine. I just want to let you know that I don't smoke or drink alcholic beverage. I only drink water and coffee with Milk. I don't even take any medication.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-09
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2022-04-16
Survey response — day 14, dose 4MedDRA: Cough, Hypertension, Secretion discharge — Feeling: FairFree text: I still have Cough and mucus. Today I had high blood pressure for a while.MedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Survey response — day 21, dose 4MedDRA: Dysstasia, Fatigue, Headache, Hypertension — Feeling: FairFree text: Slightly a little high blood pressure and headache. In addition to that, I have fatigue and at times I have a hard time getting up.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-30
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2022-05-07
Survey response — day 35, dose 4MedDRA: Fatigue, Headache — Feeling: FairFree text: Head ache and fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
- 2022-07-02
- 2022-10-01
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2022-10-08
Dose 5 — Moderna
- 2022-10-08
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2022-10-09
Survey response — days 1–6 daily, dose 5MedDRA: Vision blurred — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have fuzzy and blurry eyes.MedDRA releases: 2024-11 · check-in free text available
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2022-10-10
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Respiratory tract congestion, Vision blurred — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Cough, continues mucus from my through, occasional foggy and blurry eyes.MedDRA releases: 2024-11 · check-in free text available
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2022-10-11
Survey response — days 1–6 daily, dose 5MedDRA: Back pain, Increased upper airway secretion, Vision blurred — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Mild backache, fuzzy eyes, mucus from my throat.MedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Survey response — days 1–6 daily, dose 5MedDRA: Back pain, Increased upper airway secretion, Nasal congestion, Pruritus, Rash, Rhinorrhoea, Scratch — Feeling: Poor · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still have mucus from my throat. Staffed and runny nose. Very painful lower backache. Itch on my arms and around my waist and my skin breaks out when I scratch.MedDRA releases: 2024-11 · check-in free text available
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2022-10-13
Survey response — days 1–6 daily, dose 5MedDRA: Back pain, Nasal congestion, Rhinorrhoea — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Seviour lower backache. Stuffed and running Nose.MedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Survey response — days 1–6 daily, dose 5MedDRA: Back pain, Hypoaesthesia, Increased upper airway secretion, Nasal congestion, Rhinorrhoea, Tremor — Feeling: Poor · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Lower backache is getting worse. My right hip all the way down feeling numb and shaking for a few seconds and repeat it self on and off. Still have staffed and runny nose. Still have mucus in my throat. So far this vaccination is giving me problems.MedDRA releases: 2024-11 · check-in free text available
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2022-10-15
Survey response — day 7, dose 5MedDRA: Gait disturbance, Mobility decreased — Feeling: Poor · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: The same as yesterday. I can't even seat or walk properly.MedDRA releases: 2024-11 · check-in free text available
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2022-10-22
Survey response — day 14, dose 5MedDRA: Back pain, Hypoaesthesia, Mobility decreased, Sensory disturbance, Swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Both my legs Toes feels numb. It feels like it is swollen even though it is not. My lower back still hurts it is not easy to get up out feeling the hurt. I didn't have COVID test.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2023-01-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-22 | Moderna | Flu |
| 4 | 2022-04-02 | Moderna | No |
| 5 | 2022-10-08 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have very painful lower backache. Headache. Dizzoiness. Pain on my arm and everywhere. Extra.
Systemic reaction (other): Very painful lower back ache.
Release 7 — day 7, dose 2
Systemic reaction (other): The redness is under my Breast.
Release 8 — day 28, dose 2
Symptoms: My lower backache is very painful. Getting up is very hard.
Release 8 — day 35, dose 2
Symptoms: My lower back still hurts a little bit. I can't afford to see a doctor due to the balance I have to pay.
Release 8 — day 42, dose 2
Symptoms: I am tired all the time, especially on my leg. This a new experience I am having after my second shot.
Release 10 — 6 months, dose 2
Symptoms: Cold and back aches
Release 10 — day 28, dose 3
Symptoms: Serious Cold and Cough.
Release 10 — day 35, dose 3
Symptoms: Still Cold and cough.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Muscle spasms at the back of my leg.
Systemic reaction (other): Cough and mucus that seems come just from my throat. The color is plain white.
Systemic reaction (other): I have been coughing and spit mucus since the first vaccination which I didn't relate it with the vaccine until last night. It ha been consistent and irritating.
Systemic reaction (other): Yesterday I told you that I have coughing and spitting mucus since the first vaccine. I just want to let you know that I don't smoke or drink alcholic beverage. I only drink water and coffee with Milk. I don't even take any medication.
Release 11 — day 14, dose 4
Symptoms: I still have Cough and mucus. Today I had high blood pressure for a while.
Release 11 — day 21, dose 4
Symptoms: Slightly a little high blood pressure and headache. In addition to that, I have fatigue and at times I have a hard time getting up.
Release 11 — day 35, dose 4
Symptoms: Head ache and fatigue.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I have fuzzy and blurry eyes.
Systemic reaction (other): Cough, continues mucus from my through, occasional foggy and blurry eyes.
Systemic reaction (other): Mild backache, fuzzy eyes, mucus from my throat.
Systemic reaction (other): Still have mucus from my throat. Staffed and runny nose. Very painful lower backache. Itch on my arms and around my waist and my skin breaks out when I scratch.
Systemic reaction (other): Seviour lower backache. Stuffed and running Nose.
Systemic reaction (other): Lower backache is getting worse. My right hip all the way down feeling numb and shaking for a few seconds and repeat it self on and off. Still have staffed and runny nose. Still have mucus in my throat. So far this vaccination is giving me problems. cut off by CDC
Release 12 — day 7, dose 5
Systemic reaction (other): The same as yesterday. I can't even seat or walk properly.
Release 12 — day 14, dose 5
Symptoms: Both my legs Toes feels numb. It feels like it is swollen even though it is not. My lower back still hurts it is not easy to get up out feeling the hurt. I didn't have COVID test.
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dysstasia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Muscle fatigue | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Increased upper airway secretion | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Productive cough | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Scratch | · | · | ✓ |
| SRO | Secretion discharge | · | · | ✓ |
| SRO | Tremor | · | · | ✓ |
| SRO | Vision blurred | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release