4TK-23468-61438
5 vaccinations
17 coded responses
59 check-ins
17 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 198 / DE
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-05
Registered in v-safe
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2021-03-05
Dose 1 — Moderna
- 2021-03-05
- 2021-03-06
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: GoodFree text: Fatigue is gone!! Doing greatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache was brief shortly after rising.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Doing very well!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-04-09
Dose 2 — Moderna
- 2021-04-09
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: WeaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Mild. Much improved from yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
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2021-10-08
Survey response — 6 months, dose 2MedDRA: Dizziness, Unevaluable event, Vertigo — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Vertigo and dizziness. SinusMedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-10-12
-
2021-11-30
Dose 3 — ModernaCo-administered: Flu
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2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
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2021-12-14
Survey response — day 14, dose 3MedDRA: Gastrointestinal disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Abdominal growth · Healthcare visit (other): Dr.MedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-15
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2021-12-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2021-12-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-12-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-12-22
Survey response — day 21, dose 3MedDRA: Abdominal neoplasm, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Growing growths in abdominal area. Doubt if the vaccine is involved. Scary though. · Healthcare visit (other): Testing proceduresMedDRA releases: 2024-11 · check-in free text available
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2021-12-22
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-12-28
Survey response — day 28, dose 3MedDRA: Neoplasm, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Tumors growing but I doubt it's related to shot. · Healthcare visit (other): Awaiting surgeonMedDRA releases: 2024-11 · check-in free text available
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2021-12-28
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2022-01-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-06
- 2022-01-11
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2022-03-01
Survey response — 3 months, dose 3MedDRA: Hepatic cancer, Lung neoplasm malignant, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Lung and liver cancer · Healthcare visit (other): OncologistMedDRA releases: 2024-11 · check-in free text available
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2022-03-01
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-05-09
Dose 4 — Moderna
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2022-05-09
Survey response — day 0, dose 4MedDRA: Pre-existing disease — Feeling: GoodFree text: Copd & cancerMedDRA releases: 2024-11 · check-in free text available
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2022-05-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-05-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-12
- 2022-05-13
- 2022-05-14
- 2022-05-15
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2022-05-16
Survey response — day 7, dose 4MedDRA: No adverse event — Feeling: GoodFree text: I'm great!MedDRA releases: 2024-11 · check-in free text available
- 2022-05-23
- 2022-05-30
- 2022-06-06
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2022-06-13
Survey response — day 35, dose 4MedDRA: Fatigue, Headache, Pyrexia, SARS-CoV-2 test negative — Feeling: FairFree text: Headache and fatigue. Slight temperature Negative Covid-19 testMedDRA releases: 2024-11 · check-in free text available
- 2022-06-20
- 2022-08-08
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2022-09-07
Dose 5 — ModernaCo-administered: Flu
- 2022-09-16
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2022-09-21
Survey response — day 14, dose 5MedDRA: Chronic obstructive pulmonary disease, Fatigue, Neoplasm malignant — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue. However it's probably related to COPD and/or my cancer.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-28
- 2022-10-05
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2022-10-12
Survey response — day 35, dose 5MedDRA: Arthritis bacterial, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Not related. Have left elbow probably septic. Not related to shots though. · Healthcare visit (other): Dr appointmentMedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Report sent to call center — day 35, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-13
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2022-10-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-19
Survey response — day 42, dose 5MedDRA: Contusion — Feeling: GoodFree text: Severe bruising. Probably from immunotherapyMedDRA releases: 2024-11 · check-in free text available
- 2022-12-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-11-30 | Moderna | Flu |
| 4 | 2022-05-09 | Moderna | No |
| 5 | 2022-09-07 | Moderna | Flu |
Call center
6 call center cases
6 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue is gone!! Doing great
Systemic reaction (other): Headache was brief shortly after rising.
Systemic reaction (other): Doing very well!!
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Weakness
Systemic reaction (other): Mild. Much improved from yesterday.
Systemic reaction (other): None
Release 10 — 6 months, dose 2
Symptoms: Vertigo and dizziness. Sinus
Release 10 — day 14, dose 3
Release 10 — day 21, dose 3
Symptoms: Growing growths in abdominal area. Doubt if the vaccine is involved. Scary though.
Healthcare visit (other): Testing procedures
Release 10 — day 28, dose 3
Symptoms: Tumors growing but I doubt it's related to shot.
Healthcare visit (other): Awaiting surgeon
Release 11 — 3 months, dose 3
Release 11 — day 0, dose 4
Systemic reaction (other): Copd & cancer
Release 11 — day 7, dose 4
Systemic reaction (other): I'm great!
Release 12 — day 35, dose 4
Symptoms: Headache and fatigue. Slight temperature Negative Covid-19 test
Release 12 — day 14, dose 5
Symptoms: Fatigue. However it's probably related to COPD and/or my cancer.
Release 12 — day 35, dose 5
Symptoms: Not related. Have left elbow probably septic. Not related to shots though.
Healthcare visit (other): Dr appointment
Release 12 — day 42, dose 5
Symptoms: Severe bruising. Probably from immunotherapy
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 | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal neoplasm | · | · | ✓ |
| SD | Arthritis bacterial | · | · | ✓ |
| SD | Chronic obstructive pulmonary disease | · | · | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hepatic cancer | · | · | ✓ |
| SD | Lung neoplasm malignant | · | · | ✓ |
| SD | Neoplasm | · | · | ✓ |
| SD | Neoplasm malignant | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release