5RK-93909-87902
4 vaccinations
15 coded responses
47 check-ins
15 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 370 / TN
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-06
Dose 1 — Moderna
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2021-03-07
Registered in v-safe
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · 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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2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
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2021-03-27
Survey response — day 21, dose 1MedDRA: Aphasia, Feeling abnormal, Memory impairment — Feeling: GoodFree text: Brain Fog - forgetting every day common things & wordsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Dose 2 — Moderna
- 2021-04-01
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Metallic tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
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2021-07-01
Survey response — 3 months, dose 2MedDRA: Headache, Self-medication — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headaches that last for 2-3 days and do not respond well to Tylenol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-30
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2021-11-28
Dose 3 — Moderna
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2021-11-28
Health check-in — day 0, dose 3Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Metallic taste in my mouthAdult check-in · check-in free text available
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2021-11-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Headache, NauseaAdult check-in
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2021-11-30
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose decreased, Diabetes mellitus, Pre-existing disease — Feeling: Fair · Site: Pain · HeadacheFree text: I am a Type II Diabetic. My blood sugar keeps bottoming out.MedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose decreased — Feeling: Good · HeadacheFree text: Blood sugar keeps droppingMedDRA releases: 2024-11 · check-in free text available
- 2021-12-02
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2021-12-03
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose decreased — Feeling: FairFree text: Blood sugar bottomed out twiceMedDRA releases: 2024-11 · check-in free text available
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2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose decreased — Feeling: GoodFree text: Blood sugar very low since I got booster shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-05
- 2021-12-14
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2021-12-19
Survey response — day 21, dose 3MedDRA: Headache, Oropharyngeal pain — Feeling: GoodFree text: Sore throat & head acheMedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
- 2022-01-02
- 2022-01-09
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2022-02-27
Survey response — 3 months, dose 3MedDRA: Oropharyngeal pain, Sinus congestion — Feeling: FairFree text: Sore throat Sinus congestionMedDRA releases: 2024-11 · check-in free text available
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2022-05-29
Survey response — 6 months, dose 3MedDRA: Adverse reaction, Nasopharyngitis — Feeling: GoodFree text: Cold/allergy symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-06-06
Dose 4 — Pfizer-BioNTech
- 2022-06-24
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2022-06-27
Survey response — day 21, dose 4MedDRA: Nausea — Feeling: FairFree text: NauseaMedDRA releases: 2024-11 · check-in free text available
- 2022-07-04
- 2022-07-11
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2022-07-18
Survey response — day 42, dose 4MedDRA: Blood calcium increased, Parathyroid disorder, Thyroxine increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Extremely high thyroxine and calcium levels; will be having surgery to remove parathyroid.MedDRA releases: 2024-11 · check-in free text available
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2022-07-18
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-19
- 2022-09-05
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2022-12-05
Survey response — 6 months, dose 4MedDRA: Kidney infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Kidney infection- first time ever in my 57 years.MedDRA releases: 2024-11 · check-in free text available
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2022-12-05
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-12-06
- 2022-12-06
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2023-06-06
Survey response — 12 months, dose 4MedDRA: Nephrolithiasis, Osteoporosis, Parathyroid disorder — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-28 | Moderna | No |
| 4 | 2022-06-06 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — day 21, dose 1
Symptoms: Brain Fog - forgetting every day common things & words
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Metallic taste in mouth
Systemic reaction (other): Metallic taste
Release 9 — 3 months, dose 2
Symptoms: Headaches that last for 2-3 days and do not respond well to Tylenol.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I am a Type II Diabetic. My blood sugar keeps bottoming out.
Systemic reaction (other): Blood sugar keeps dropping
Systemic reaction (other): Blood sugar bottomed out twice
Systemic reaction (other): Blood sugar very low since I got booster shot.
Release 10 — day 21, dose 3
Symptoms: Sore throat & head ache
Release 11 — 3 months, dose 3
Symptoms: Sore throat Sinus congestion
Release 11 — 6 months, dose 3
Symptoms: Cold/allergy symptoms
Release 12 — day 0, dose 3
Systemic reaction (other): Metallic taste in my mouth
Release 12 — day 21, dose 4
Symptoms: Nausea
Release 12 — day 42, dose 4
Symptoms: Extremely high thyroxine and calcium levels; will be having surgery to remove parathyroid.
Release 12 — 6 months, dose 4
Symptoms: Kidney infection- first time ever in my 57 years.
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 | Adverse reaction | · | · | ✓ |
| SD | Aphasia | ✓ | ✓ | ✓ |
| SD | Blood calcium increased | · | · | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Kidney infection | · | · | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Osteoporosis | · | · | ✓ |
| SD | Parathyroid disorder | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Thyroxine increased | · | · | ✓ |
| SRO | Blood glucose decreased | · | · | ✓ |
| SRO | Diabetes mellitus | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release