5G5-73735-69903
2 vaccinations
10 coded responses
18 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 383 / TN
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-15
Dose 1 — Moderna
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2021-03-16
Registered in v-safe
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Nervousness, Paraesthesia — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, Abdominal painFree text: My arm the injection was in has be tingling and shaky feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Injection site paraesthesia — Feeling: Fair · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Tingling in injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Numbness in my arm that I got the injection inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, NauseaAdult check-in
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2021-03-29
Survey response — day 14, dose 1MedDRA: Cough, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have a cough I cant get rid of, feel nauseous and sometimes cant hardly speakMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — day 21, dose 1MedDRA: Cough, Feeling abnormal, Musculoskeletal chest pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I cough and cough to the point my ribs hurt and it never stops! I have not been sick in over year and now I feel miserableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Dose 2 — Moderna
- 2021-04-13
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Feel like Im going to pass out, when I try and read stuff everything goes hazy and out of focus! Feel like curling up and dyeingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: A persistent cough that hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-22
Health check-in — day 7, dose 2Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-27
Survey response — day 14, dose 2MedDRA: Cough, Dizziness, Dyspnoea, Nausea — Feeling: Poor · Be unable to workFree text: A persistent coughOut of breath from walking Dizzy and lightheaded NauseousMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-07-15
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2021-10-12
Survey response — 6 months, dose 2MedDRA: COVID-19, Headache, Impaired work ability, Injection site pain, Injection site rash, Malaise — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had covid in august 23rd and was not better till September 20th was off work that whole time, my arm burns and gets a rash on it from time to time where I got the injections at! I feel horrible all the time keep a headache dailyMedDRA releases: 2024-11 · check-in free text available
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2022-04-13
Survey response — 12 months, dose 2MedDRA: Brain fog, COVID-19, Memory impairment, Office visit, Time perception altered — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have had covid twice that lasted a month both times! I have loss of thought, brain fog, feeling loos of time, not remembering things and important things too! · Healthcare visit (other): Went seen my PCPMedDRA releases: 2024-11 · check-in free text available
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2022-04-13
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-21
- 2022-04-26
- 2022-04-29
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2022-04-29
Callback requested for11:00AM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My arm the injection was in has be tingling and shaky feeling
Systemic reaction (other): Tingling in injection site
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Numbness in my arm that I got the injection in
Release 6 — day 14, dose 1
Symptoms: I have a cough I cant get rid of, feel nauseous and sometimes cant hardly speak
Release 6 — day 21, dose 1
Symptoms: I cough and cough to the point my ribs hurt and it never stops! I have not been sick in over year and now I feel miserable
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Feel like Im going to pass out, when I try and read stuff everything goes hazy and out of focus! Feel like curling up and dyeing
Systemic reaction (other): A persistent cough that hurts
Release 8 — day 14, dose 2
Symptoms: A persistent coughOut of breath from walking Dizzy and lightheaded Nauseous
Release 10 — 6 months, dose 2
Symptoms: I had covid in august 23rd and was not better till September 20th was off work that whole time, my arm burns and gets a rash on it from time to time where I got the injections at! I feel horrible all the time keep a headache daily
Release 11 — 12 months, dose 2
Symptoms: I have had covid twice that lasted a month both times! I have loss of thought, brain fog, feeling loos of time, not remembering things and important things too!
Healthcare visit (other): Went seen my PCP
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 | Brain fog | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site rash | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Time perception altered | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release