586-15661-38483
5 vaccinations
9 coded responses
68 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 373 / TN
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
- 2021-02-04
- 2021-02-05
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Dysphonia — Feeling: Good · Site: PainFree text: Hoarseness, but went away after a few hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
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2021-03-19
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Both hip joints got very soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
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2021-06-04
Survey response — 3 months, dose 2MedDRA: Dysphagia, Headache, Oesophageal discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Frequent headaches.Esophagus seizes up so i can't swallow. · Healthcare visit (other): Saw primary care doctor, being referred to specialistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-03
Survey response — 6 months, dose 2MedDRA: Gastrooesophageal reflux disease, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Acid reflux · Healthcare visit (other): Regular office visitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-03
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-10-26
Dose 3 — Moderna
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint painsAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
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2021-11-30
Survey response — day 35, dose 3MedDRA: Lacrimation increased, Periorbital pain — Feeling: GoodFree text: One eye is watering a lot, making the surrounding area sore. Possibly allergies, though a bit unusual for meMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2022-01-25
- 2022-04-26
-
2022-05-12
Dose 4 — Moderna
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2022-05-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-14
- 2022-05-15
- 2022-05-16
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2022-05-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2022-05-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2022-05-19
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2022-05-26
Survey response — day 14, dose 4MedDRA: Muscle spasms, Sinus disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Back muscle seized up, Severe sinus allergy symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-08-11
-
2022-10-03
Dose 5 — Moderna
- 2022-10-03
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2022-10-04
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
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2022-10-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
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2022-11-14
Survey response — day 42, dose 5MedDRA: Adverse reaction, Irritable bowel syndrome — Feeling: Fair · Be unable to work or attend schoolFree text: Irritable bowel, Strong sinus allergy symptomsMedDRA releases: 2024-11 · check-in free text available
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2023-01-02
Survey response — 3 months, dose 5MedDRA: Influenza — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-02
Report sent to call center — 3 months, dose 5Be 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)
- 2023-01-03
- 2023-01-04
-
2023-04-03
Survey response — 6 months, dose 5MedDRA: Blood cholesterol increased — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
| 5 | 2022-10-03 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Hoarseness, but went away after a few hours
Release 5 — day 14, dose 2
Symptoms: Both hip joints got very sore
Release 8 — 3 months, dose 2
Symptoms: Frequent headaches.Esophagus seizes up so i can't swallow.
Healthcare visit (other): Saw primary care doctor, being referred to specialist
Release 9 — 6 months, dose 2
Release 10 — day 35, dose 3
Symptoms: One eye is watering a lot, making the surrounding area sore. Possibly allergies, though a bit unusual for me
Release 11 — day 14, dose 4
Symptoms: Back muscle seized up, Severe sinus allergy symptoms
Release 12 — day 42, dose 5
Symptoms: Irritable bowel, Strong sinus allergy symptoms
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 | ✓ | ✓ | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Blood cholesterol increased | · | · | ✓ |
| SD | Dysphagia | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Oesophageal discomfort | ✓ | ✓ | ✓ |
| SD | Periorbital pain | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Dysphonia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release