4Y6-10552-64898
6 vaccinations
12 coded responses
80 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 939 / CA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
-
2021-03-08
Dose 1 — Moderna
- 2021-03-08
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
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2021-04-05
Dose 2 — Moderna
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2021-04-05
Survey response — day 0, dose 2MedDRA: Thirst — Feeling: Good · Site: Pain · Chills, Fatigue or tirednessFree text: ThirstMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction, Injection site erythema, Injection site mass, Injection site warmth, Rash macular — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Fatigue or tirednessFree text: Moderna Arm:" Large, red, hot, lumpy, splotchy patch shaped like a right triangleMedDRA 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: Vaccination site reaction — Feeling: Good · Site: Redness, SwellingFree text: Still have "Moderna ArmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction, Injection site erythema, Injection site warmth, Rash macular — Feeling: Good · Site: RednessFree text: Moderna Arm," red splotches no longer hot to the touch or lumpyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Rash macular — Feeling: GoodFree text: Moderna Arm red blotches almost completely dissipatedMedDRA 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: Erythema — Feeling: GoodFree text: Moderna Arm redness almost goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2021-10-04
-
2021-12-27
Dose 3 — Pfizer-BioNTech
- 2021-12-27
-
2021-12-28
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Brain fog; some mild shortness of breath.MedDRA releases: 2024-11 · check-in free text available
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2021-12-29
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Lots of pain in armpit on injection arm, presumably active lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2021-12-30
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain, Cough, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body achesFree text: Chest soreness if I cough from allergiesMedDRA releases: 2024-11 · check-in free text available
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2021-12-31
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: GoodFree text: Just the lymph node pain in armpit of injected armMedDRA releases: 2024-11 · check-in free text available
- 2022-01-01
- 2022-01-02
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-02-07
- 2022-03-28
- 2022-06-27
-
2022-07-25
Dose 4 — Pfizer-BioNTech
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2022-07-25
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-07-26
Survey response — days 1–6 daily, dose 4MedDRA: Feeling abnormal, Impaired driving ability, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Just an overall feeling of being somewhat "out of it," and not risking driving. Still, I'm doing so much better than 3 prior vaccines!MedDRA releases: 2024-11 · check-in free text available
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2022-07-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-07-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-07-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-08
- 2022-08-15
- 2022-08-22
- 2022-08-29
- 2022-09-05
-
2022-10-21
Dose 5 — Pfizer-BioNTech
- 2022-10-22
-
2022-10-23
Survey response — days 1–6 daily, dose 5MedDRA: Injection site bruising — Feeling: GoodFree text: Small dark bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2023-01-20
- 2023-04-21
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2023-05-12
Dose 6 — Pfizer-BioNTech
- 2023-05-12
- 2023-05-13
- 2023-05-14
- 2023-05-15
- 2023-05-16
- 2023-05-17
- 2023-05-18
- 2023-05-19
- 2023-05-26
- 2023-06-02
- 2023-06-09
- 2023-06-16
- 2023-06-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-12-27 | Pfizer-BioNTech | No |
| 4 | 2022-07-25 | Pfizer-BioNTech | No |
| 5 | 2022-10-21 | Pfizer-BioNTech | No |
| 6 | 2023-05-12 | Pfizer-BioNTech | No |
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Thirst
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Moderna Arm:" Large, red, hot, lumpy, splotchy patch shaped like a right triangle
Systemic reaction (other): Still have "Moderna Arm
Systemic reaction (other): Moderna Arm," red splotches no longer hot to the touch or lumpy
Systemic reaction (other): Moderna Arm red blotches almost completely dissipated
Systemic reaction (other): Moderna Arm redness almost gone
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Brain fog; some mild shortness of breath.
Systemic reaction (other): Lots of pain in armpit on injection arm, presumably active lymph nodes
Systemic reaction (other): Chest soreness if I cough from allergies
Systemic reaction (other): Just the lymph node pain in armpit of injected arm
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Just an overall feeling of being somewhat "out of it," and not risking driving. Still, I'm doing so much better than 3 prior vaccines!
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Small dark bruise at injection site
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 |
|---|---|---|---|---|
| SRO | Brain fog | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Impaired driving ability | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
| SRO | Vaccination site reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release