5JR-32170-24058
5 vaccinations
8 coded responses
39 check-ins
7 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 31-35
- ZIP prefix
- 021 / MA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-08
Registered in v-safe
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2021-03-08
Dose 1 — Moderna
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2021-03-08
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Fibromyalgia flare startingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-14
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2021-03-15
Survey response — day 7, dose 1MedDRA: Headache, Hyperacusis, Migraine, Photosensitivity reaction, Pre-existing disease — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: migraine symptoms: head throbbing; sensitive to light, soundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — day 14, dose 1MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Migraines.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
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2021-04-05
Dose 2 — Moderna
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2021-04-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body achesAdult check-in
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Fibromyalgia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Fibromyalgia flare up (same thing happened after first shot)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-07-05
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2021-10-04
Survey response — 6 months, dose 2MedDRA: Crohn's disease, Diarrhoea, Pre-existing disease — Feeling: FairFree text: Diarrhea, unexplained by Crohn's disease in remission.MedDRA releases: 2024-11 · check-in free text available
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2021-12-28
Dose 3 — Pfizer-BioNTech
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2021-12-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-31
- 2022-01-02
- 2022-01-03
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-01-25
- 2022-02-01
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2022-02-08
Survey response — day 42, dose 3MedDRA: C-reactive protein decreased, Crohn's disease, Fatigue, Pre-existing disease — Feeling: Fair · 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: I have Crohn's Disease. My blood work shows my c-reactive-protein is at 19.8 (<8 being normal). I'm incredibly fatigued. This is likely a Crohn's flare, however I have not had a colonoscopy in a year.MedDRA releases: 2024-11 · check-in free text available
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2022-02-08
Report sent to call center — day 42, dose 3Be 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)
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2022-02-11
Call successfulDoes not wish to fill out VAERS report
- 2022-03-29
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2022-03-30
Dose 4 — Moderna
- 2022-06-30
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2022-09-27
Dose 5 — ModernaCo-administered: Flu
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2022-12-29
Survey response — 3 months, dose 5MedDRA: Brain fog, Condition aggravated, Fatigue, Pre-existing disease — Feeling: FairFree text: Brain fog. I'm a COVID long hauler form a April 2020 infection. Vaccines slowly were helping to reduce symptoms of fatigue and brain fog, and vaccine #4 reduced brain fog **significantly**, but now it's coming back steadily.MedDRA releases: 2024-11 · check-in free text available
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2023-03-28
Survey response — 6 months, dose 5MedDRA: Dizziness postural — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-12-28 | Pfizer-BioNTech | No |
| 4 | 2022-03-30 | Moderna | No |
| 5 | 2022-09-27 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Fibromyalgia flare starting
Release 5 — day 7, dose 1
Systemic reaction (other): migraine symptoms: head throbbing; sensitive to light, sound
Release 6 — day 14, dose 1
Symptoms: Migraines.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Fibromyalgia flare up (same thing happened after first shot)
Release 10 — 6 months, dose 2
Symptoms: Diarrhea, unexplained by Crohn's disease in remission.
Release 11 — day 42, dose 3
Symptoms: I have Crohn's Disease. My blood work shows my c-reactive-protein is at 19.8 (<8 being normal). I'm incredibly fatigued. This is likely a Crohn's flare, however I have not had a colonoscopy in a year.
Release 12 — 3 months, dose 5
Symptoms: Brain fog. I'm a COVID long hauler form a April 2020 infection. Vaccines slowly were helping to reduce symptoms of fatigue and brain fog, and vaccine #4 reduced brain fog **significantly**, but now it's coming back steadily.
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 | Brain fog | · | · | ✓ |
| SD | C-reactive protein decreased | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Crohn's disease | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness postural | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperacusis | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Photosensitivity reaction | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release