5JZ-26092-41094
5 vaccinations
9 coded responses
68 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 846 / UT
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-20
Dose 1 — Moderna
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2021-01-21
Registered in v-safe
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2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: Insomnia the night after shot ( last night)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-10
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2021-02-17
Dose 2 — Moderna
- 2021-02-17
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Site: Pain, Redness, 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: Hard to sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Feeling hot, Hot flush, Night sweats — Feeling: Good · Site: Redness, Swelling · Chills, HeadacheFree text: I marked chills, but I would actually describe it more like a hot-flash. I get hot and perspire, then it goes away. Happens mostly during the night and in the morning. I am long past menopause, so it's not that. But it's very LIKE that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: GoodFree text: Still a few hot flashes earlier today, but fewer than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
- 2021-08-18
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2021-11-19
Dose 3 — Moderna
- 2021-11-19
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2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-12-03
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2021-12-10
Survey response — day 21, dose 3MedDRA: Nasal congestion — Feeling: FairFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Survey response — day 28, dose 3MedDRA: Cough, Nasal congestion, Rhinorrhoea — Feeling: FairFree text: More nasal congestion, runny nose, ocassional coughingMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2021-12-31
- 2022-02-18
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2022-04-22
Dose 4 — Moderna
- 2022-04-22
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
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2022-05-27
Survey response — day 35, dose 4MedDRA: Headache, Paranasal sinus discomfort — Feeling: GoodFree text: Sinus pressure and headacheMedDRA releases: 2024-11 · check-in free text available
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2022-06-03
Survey response — day 42, dose 4MedDRA: Fatigue, Insomnia — Feeling: FairFree text: Fatigue and trouble sleepingMedDRA releases: 2024-11 · check-in free text available
- 2022-07-22
- 2022-10-21
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2022-11-25
Dose 5 — Pfizer-BioNTech
- 2022-11-25
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2022-11-26
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-11-27
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2022-11-28
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-11-29
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-11-30
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-12-01
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2022-12-30
- 2023-01-07
- 2023-02-24
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2023-05-26
Survey response — 6 months, dose 5MedDRA: Iron deficiency, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-11-25 | Pfizer-BioNTech | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Insomnia the night after shot ( last night)
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Hard to sleep
Systemic reaction (other): I marked chills, but I would actually describe it more like a hot-flash. I get hot and perspire, then it goes away. Happens mostly during the night and in the morning. I am long past menopause, so it's not that. But it's very LIKE that.
Systemic reaction (other): Still a few hot flashes earlier today, but fewer than yesterday.
Release 10 — day 21, dose 3
Symptoms: Stuffy nose
Release 10 — day 28, dose 3
Symptoms: More nasal congestion, runny nose, ocassional coughing
Release 11 — day 35, dose 4
Symptoms: Sinus pressure and headache
Release 11 — day 42, dose 4
Symptoms: Fatigue and trouble sleeping
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Iron deficiency | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Night sweats | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release