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5XX-51302-72651

2 vaccinations 21 coded responses 26 check-ins 21 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
017 / MA
Registered
2021-04-16
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-16
    Registered in v-safe
  2. 2021-04-16
    Dose 1 — Moderna
  3. 2021-04-16
    Survey response — day 0, dose 1
    MedDRA: Dizziness, Food craving, Hunger — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizzy & quite hungry. A craving for very specific foods. Pizza, bread, cheese & fruit juice.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Feverish
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Pyrexia — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Feverish more than yesterday & quite dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Agitation, Ear discomfort, Tinnitus — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Forgot to report a sensation of ringing in my ears & a sensation of my ears feeling like they were ready to pop from high elevations or flying in a plane. Stopped finally at approximately 4:00 am this morning. Also severe fussiness which is much improved today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Ear discomfort, Headache, Tinnitus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Dizziness, tinnitus, ear pressure, constant headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Decreased appetite, Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Dizziness, loss of appetite & extreme weakness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-23
    Survey response — day 7, dose 1
    MedDRA: Brain fog, Impaired work ability, Memory impairment — Feeling: Good · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: For the last two days Ive had a sort of brain fog fog. I would go to begin a task at work & forget what I was going to do. Also in conversations with my boss & family members I would forget what I was going to say. I took another night off from work to rest.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-30
    Survey response — day 14, dose 1
    MedDRA: Abdominal distension, Abdominal pain upper, Decreased appetite, Diarrhoea, Fatigue, Feeling abnormal, Feeling cold, Feeling hot, Flatulence, Nausea — Feeling: Good
    Free text: Diarrhea, bloating, gas, stomach ache, lack of appetite on & off, nausea & tiredness after minimal exertion. Bouts of feeling really hot, then really cold. Quite a bit of brain fog.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-14
    Survey response — day 28, dose 1
    MedDRA: Brain fog, Memory impairment — Feeling: Good
    Free text: Mental doggies. Forgetting things quickly & frequently.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-17
    Dose 2 — Moderna
  15. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Constipation, Dizziness, Pain, Pruritus, Respiratory tract congestion, Rhinorrhoea, Tinnitus — Feeling: Poor · Site: Pain, 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 activities
    Free text: Severe dizziness & tinitis. Shooting random pains from neck to toes. Some itching on feet &?toes. Runny nose followed by congestion. Constipation.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Fatigue — Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Weakness & tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Dizziness, Respiratory tract congestion — Feeling: Good · Site: Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Dizziness, not much of an appetite, congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Dry eye, Headache — Feeling: Good · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Headache. Forgot to mention dry eye symtoms for every day since the shot. Feels a little better today. Slight dizziness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry eye — Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Dry eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Joint stiffness, Memory impairment, Musculoskeletal stiffness — Feeling: Good · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Stiffness in my back & joints. Some forgetfulness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-24
    Survey response — day 7, dose 2
    MedDRA: Dry eye, Memory impairment — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Still having forgetfulness, dry eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-02
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Decreased appetite, Fatigue, Headache, Nausea, Vision blurred, Weight decreased — Feeling: Good · Be unable to do your normal daily activities
    Free text: Nausea sometimes severe. Mental fogginess & forgetfulness. Short lasting headaches. Joint stiffness. Severe tiredness. Very limited energy each day. Loss of normal appetite. Weight loss.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-07
    Survey response — day 21, dose 2
    MedDRA: Brain fog, Decreased appetite, Fatigue, Memory impairment, Nausea — Feeling: Good · Be unable to do your normal daily activities
    Free text: Forgetfulness, Mental fogginess, fatigue, random nausea & loss of appetite.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-21
    Survey response — day 35, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities
    Free text: The lower part of my arm that the shot was administered in was extremely sore below my elbow. It has finally subsided.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-28
    Survey response — day 42, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: There is a pain that seemed to have gone away in the lower part of my vaccination arm. It occasionally recurs, but hurts much less & lasts for a short time instead of constantly as in the beginning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-08-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-05-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Moderna
22021-05-17Moderna

Free text

Release 7 — day 0, dose 1

2021-04-16

Systemic reaction (other): Dizzy & quite hungry. A craving for very specific foods. Pizza, bread, cheese & fruit juice.

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Feverish

2021-04-18

Systemic reaction (other): Feverish more than yesterday & quite dizzy

2021-04-19

Systemic reaction (other): Forgot to report a sensation of ringing in my ears & a sensation of my ears feeling like they were ready to pop from high elevations or flying in a plane. Stopped finally at approximately 4:00 am this morning. Also severe fussiness which is much improved today.

2021-04-20

Systemic reaction (other): Dizziness, tinnitus, ear pressure, constant headache

2021-04-21

Systemic reaction (other): Dizziness

2021-04-22

Systemic reaction (other): Dizziness, loss of appetite & extreme weakness

Release 7 — day 7, dose 1

2021-04-23

Systemic reaction (other): For the last two days Ive had a sort of brain fog fog. I would go to begin a task at work & forget what I was going to do. Also in conversations with my boss & family members I would forget what I was going to say. I took another night off from work to rest.

Release 8 — day 14, dose 1

2021-04-30

Symptoms: Diarrhea, bloating, gas, stomach ache, lack of appetite on & off, nausea & tiredness after minimal exertion. Bouts of feeling really hot, then really cold. Quite a bit of brain fog.

Release 8 — day 28, dose 1

2021-05-14

Symptoms: Mental doggies. Forgetting things quickly & frequently.

Release 8 — days 1–6 daily, dose 2

2021-05-18

Systemic reaction (other): Severe dizziness & tinitis. Shooting random pains from neck to toes. Some itching on feet &?toes. Runny nose followed by congestion. Constipation.

2021-05-19

Systemic reaction (other): Weakness & tiredness

2021-05-20

Systemic reaction (other): Dizziness, not much of an appetite, congestion

2021-05-21

Systemic reaction (other): Headache. Forgot to mention dry eye symtoms for every day since the shot. Feels a little better today. Slight dizziness.

2021-05-22

Systemic reaction (other): Dry eyes

2021-05-23

Systemic reaction (other): Stiffness in my back & joints. Some forgetfulness.

Release 8 — day 7, dose 2

2021-05-24

Systemic reaction (other): Still having forgetfulness, dry eyes

Release 8 — day 14, dose 2

2021-06-02

Symptoms: Nausea sometimes severe. Mental fogginess & forgetfulness. Short lasting headaches. Joint stiffness. Severe tiredness. Very limited energy each day. Loss of normal appetite. Weight loss.

Release 8 — day 21, dose 2

2021-06-07

Symptoms: Forgetfulness, Mental fogginess, fatigue, random nausea & loss of appetite.

Release 9 — day 35, dose 2

2021-06-21

Symptoms: The lower part of my arm that the shot was administered in was extremely sore below my elbow. It has finally subsided.

Release 9 — day 42, dose 2

2021-06-28

Symptoms: There is a pain that seemed to have gone away in the lower part of my vaccination arm. It occasionally recurs, but hurts much less & lasts for a short time instead of constantly as in the beginning.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal distension ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDBrain fog ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDFeeling cold ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDFlatulence ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMemory impairment ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SDWeight decreased ✓ ✓ ✓
SROAgitation ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROBrain fog ✓ ✓ ✓
SROConstipation ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODry eye ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFood craving ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHunger ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROJoint stiffness ✓ ✓ ✓
SROMemory impairment ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release