5Q9-33238-50510
5 vaccinations
7 coded responses
32 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 549 / WI
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-17
Registered in v-safe
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2021-02-17
Dose 1 — Moderna
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2021-02-17
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Headache, Fatigue or tirednessFree text: Slight dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-21
- 2021-02-23
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2021-02-24
Survey response — day 7, dose 1MedDRA: Dizziness, Respiratory tract congestion — Feeling: Good · Headache, Fatigue or tirednessFree text: Stuffed head and dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
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2021-03-17
Dose 2 — Moderna
- 2021-03-17
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2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · 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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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Blister, Vaccine positive rechallenge — Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessFree text: An odd symptom- a large blister appeared on one toe. I might have dismissed it, but the same thing happened with the first Covid-19 vaccine. I didnt report it then because it seemed like a fluke, but having it happen again seems an unlikely coincidence.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction, Vaccine positive rechallenge — Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessFree text: Red puffy area on toe looks like photos of covid toes. Had the same thing happen with my first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Peripheral swelling — Feeling: Good · Joint pains, Fatigue or tirednessFree text: Still have red, swollen area on toe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-09
- 2021-04-14
- 2021-04-21
- 2021-04-29
- 2021-06-16
- 2021-09-15
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2021-11-16
Dose 3 — Moderna
- 2022-03-17
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2022-07-15
Dose 4 — Moderna
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2022-09-26
Dose 5 — Moderna
- 2022-10-02
- 2022-10-03
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2022-10-10
Survey response — day 14, dose 5MedDRA: Cough, Oropharyngeal pain — Feeling: FairFree text: Sore throat and coughingMedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
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2022-10-24
Survey response — day 28, dose 5MedDRA: Laryngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: FairFree text: A positive Covid test on 10/19/22. Sore throat, congestion, laryngitis. I had previously had a positive test on 10/4/22 followed by a negative test on 10/12/22.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-07-15 | Moderna | No |
| 5 | 2022-09-26 | Moderna | No |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Slight dizziness
Release 4 — day 7, dose 1
Systemic reaction (other): Stuffed head and dizziness
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): An odd symptom- a large blister appeared on one toe. I might have dismissed it, but the same thing happened with the first Covid-19 vaccine. I didnt report it then because it seemed like a fluke, but having it happen again seems an unlikely coincidence.
Systemic reaction (other): Red puffy area on toe looks like photos of covid toes. Had the same thing happen with my first shot.
Systemic reaction (other): Still have red, swollen area on toe.
Release 12 — day 14, dose 5
Symptoms: Sore throat and coughing
Release 12 — day 28, dose 5
Symptoms: A positive Covid test on 10/19/22. Sore throat, congestion, laryngitis. I had previously had a positive test on 10/4/22 followed by a negative test on 10/12/22.
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 | Laryngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Blister | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release