5FC-67199-26210
5 vaccinations
11 coded responses
47 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 618 / IL
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint painsAdult check-in
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Good · Site: PainFree text: Mild nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Herpes simplex — Feeling: GoodFree text: Herpes simplex broke out on my face.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — day 7, dose 2MedDRA: Condition aggravated, Oral herpes, Pre-existing disease — Feeling: GoodFree text: Herpes simplex outbreak on my lip.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
-
2021-03-16
Survey response — day 21, dose 2MedDRA: Arthralgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: More intense joint pain in one knee shoulder, and wrist. These joints have arthritis. Also having arthralgia in several other joints this weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
-
2021-08-24
Survey response — 6 months, dose 2MedDRA: Gastrooesophageal reflux disease, Oropharyngeal pain — Feeling: GoodFree text: Increased esophageal reflux causing localized soreness in my throat like little ulcers. These dont last long, like one or two days.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-28
Dose 3 — Moderna
-
2022-02-23
Survey response — 12 months, dose 2MedDRA: Gastroenteritis — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had gastroenteritis for 2 days last week.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-12
Dose 4 — Pfizer-BioNTech
- 2022-04-27
-
2022-05-03
Survey response — day 21, dose 4MedDRA: Arthralgia, Brain fog, Cough, Fatigue, Myalgia, Nasal congestion, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fatigue, slight fever, sore throat, nasal congestion, joint and muscle pain, brain fog, cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-07-12
-
2022-10-10
Dose 5 — Pfizer-BioNTech
- 2022-10-11
- 2022-10-11
-
2022-10-12
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-10-13
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-10-15
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-23
- 2023-01-09
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
| 5 | 2022-10-10 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Mild nasal congestion
Systemic reaction (other): Herpes simplex broke out on my face.
Release 4 — day 7, dose 2
Systemic reaction (other): Herpes simplex outbreak on my lip.
Release 5 — day 21, dose 2
Symptoms: More intense joint pain in one knee shoulder, and wrist. These joints have arthritis. Also having arthralgia in several other joints this week
Release 9 — 6 months, dose 2
Symptoms: Increased esophageal reflux causing localized soreness in my throat like little ulcers. These dont last long, like one or two days.
Release 11 — 12 months, dose 2
Symptoms: I had gastroenteritis for 2 days last week.
Release 11 — day 21, dose 4
Symptoms: Fatigue, slight fever, sore throat, nasal congestion, joint and muscle pain, brain fog, cough.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastroenteritis | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Herpes simplex | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release