57X-19794-92955
5 vaccinations
9 coded responses
33 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 030 / NH
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaFree text: I woke up with a sore throat and a stuffy nose today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Stuffy nose and bit of sore tgroatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Slight dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
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2021-03-10
Dose 2 — Moderna
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sharp brief pains in chest for an hourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Tremor — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: ShakyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
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2021-03-31
Survey response — day 21, dose 2MedDRA: Ear pruritus, Erythema, Pruritus, Skin warm — Feeling: FairFree text: My ears are both hot, itchy, and red. Pretty sure it's a food sensitivity, not the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-08
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2021-11-14
Dose 3 — ModernaCo-administered: Shingles
- 2022-03-10
-
2022-07-01
Dose 4 — Moderna
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2022-09-11
Dose 5 — Pfizer-BioNTech
- 2022-09-21
- 2022-09-25
- 2022-10-02
- 2022-10-09
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2022-10-16
Survey response — day 35, dose 5MedDRA: Chemotherapy, Headache, Ophthalmic migraine, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Today I had an occular migraine, a headache, threw up, and napped. Seem ok now. Note, I also started chemotherapy 10 days ago, so who knows?!MedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Survey response — day 42, dose 5MedDRA: Diarrhoea, Dry skin, Nausea, Oral pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Probably all related to my current chemotherapy medications. I am nauseous, dry skin, sore mouth, & diarrhea.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-11
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-11-14 | Moderna | Shingles |
| 4 | 2022-07-01 | Moderna | No |
| 5 | 2022-09-11 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I woke up with a sore throat and a stuffy nose today.
Systemic reaction (other): Stuffy nose and bit of sore tgroat
Systemic reaction (other): Slight dizziness
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy
Systemic reaction (other): Sharp brief pains in chest for an hour
Systemic reaction (other): Shaky
Release 6 — day 21, dose 2
Symptoms: My ears are both hot, itchy, and red. Pretty sure it's a food sensitivity, not the shot.
Release 12 — day 35, dose 5
Symptoms: Today I had an occular migraine, a headache, threw up, and napped. Seem ok now. Note, I also started chemotherapy 10 days ago, so who knows?!
Release 12 — day 42, dose 5
Symptoms: Probably all related to my current chemotherapy medications. I am nauseous, dry skin, sore mouth, & diarrhea.
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 | Chemotherapy | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dry skin | · | · | ✓ |
| SD | Ear pruritus | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Ophthalmic migraine | · | · | ✓ |
| SD | Oral pain | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release