555-93792-55723
3 vaccinations
5 coded responses
39 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 082 / NJ
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-01-15
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
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2021-02-16
Dose 2 — Moderna
- 2021-02-16
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-04
- 2021-03-09
- 2021-03-16
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2021-03-25
Survey response — day 35, dose 2MedDRA: Abdominal pain lower, Gastrointestinal pain — Feeling: FairFree text: Gastrointestinal/lower abdominal pain and achingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — day 42, dose 2MedDRA: Abdominal pain lower, Constipation, Diarrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lower abdominal aching pain, feelings of either constipation or loose bowelsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-18
- 2021-07-30
- 2021-08-17
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2021-11-12
Dose 3 — Pfizer-BioNTech
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2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Blindness, Condition aggravated, Fatigue, Photopsia, Pre-existing disease, Presyncope, Tinnitus — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: At one point I experienced symptoms of either almost passing out or a precursor to the partial complex seizures I used to experience: flashes of light in my field of view, loud buzzing/ringing in ears, loss of vision, then extreme fatigue afterwardMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
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2021-12-03
Survey response — day 21, dose 3MedDRA: Skin tightness — Feeling: GoodFree text: Tightness in L armpit area (shot received in L arm).MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
- 2022-05-16
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2022-11-12
Survey response — 12 months, dose 3MedDRA: Brain fog — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Brain fogMedDRA releases: 2024-11 · check-in free text available
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2022-11-12
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-11-12 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 unsuccessful · 1 priority 2/3 (triaged and no follow up)
1 wait over 3 months for a first call
Free text
Release 6 — day 35, dose 2
Symptoms: Gastrointestinal/lower abdominal pain and aching
Release 6 — day 42, dose 2
Symptoms: Lower abdominal aching pain, feelings of either constipation or loose bowels
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): At one point I experienced symptoms of either almost passing out or a precursor to the partial complex seizures I used to experience: flashes of light in my field of view, loud buzzing/ringing in ears, loss of vision, then extreme fatigue afterward cut off by CDC
Release 10 — day 21, dose 3
Symptoms: Tightness in L armpit area (shot received in L arm).
Release 12 — 12 months, dose 3
Symptoms: Brain fog
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 | Abdominal pain lower | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SD | Skin tightness | · | · | ✓ |
| SRO | Blindness | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Photopsia | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Presyncope | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release