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
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2021-04-16
Registered in v-safe
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2021-04-16
Dose 1 — Moderna
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2021-04-16
Survey response — day 0, dose 1MedDRA: 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 activitiesFree 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
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree text: FeverishMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree text: Feverish more than yesterday & quite dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree 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
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Ear discomfort, Headache, Tinnitus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dizziness, tinnitus, ear pressure, constant headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Decreased appetite, Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizziness, loss of appetite & extreme weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 7, dose 1MedDRA: 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 activitiesFree 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
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2021-04-30
Survey response — day 14, dose 1MedDRA: Abdominal distension, Abdominal pain upper, Decreased appetite, Diarrhoea, Fatigue, Feeling abnormal, Feeling cold, Feeling hot, Flatulence, Nausea — Feeling: GoodFree 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
- 2021-05-07
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2021-05-14
Survey response — day 28, dose 1MedDRA: Brain fog, Memory impairment — Feeling: GoodFree text: Mental doggies. Forgetting things quickly & frequently.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Dose 2 — Moderna
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2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Fatigue — Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Weakness & tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Dizziness, not much of an appetite, congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-05-22
Survey response — days 1–6 daily, dose 2MedDRA: Dry eye — Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Dry eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-23
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Stiffness in my back & joints. Some forgetfulness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Survey response — day 7, dose 2MedDRA: Dry eye, Memory impairment — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still having forgetfulness, dry eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Survey response — day 14, dose 2MedDRA: Arthralgia, Decreased appetite, Fatigue, Headache, Nausea, Vision blurred, Weight decreased — Feeling: Good · Be unable to do your normal daily activitiesFree 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
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2021-06-07
Survey response — day 21, dose 2MedDRA: Brain fog, Decreased appetite, Fatigue, Memory impairment, Nausea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Forgetfulness, Mental fogginess, fatigue, random nausea & loss of appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-14
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2021-06-21
Survey response — day 35, dose 2MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree 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
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2021-06-28
Survey response — day 42, dose 2MedDRA: Pain in extremity — Feeling: GoodFree 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
- 2021-08-16
- 2021-11-15
- 2022-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-17 | Moderna |
Free text
Release 7 — day 0, dose 1
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
Systemic reaction (other): Feverish
Systemic reaction (other): Feverish more than yesterday & quite dizzy
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.
Systemic reaction (other): Dizziness, tinnitus, ear pressure, constant headache
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness, loss of appetite & extreme weakness
Release 7 — day 7, dose 1
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
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
Symptoms: Mental doggies. Forgetting things quickly & frequently.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Severe dizziness & tinitis. Shooting random pains from neck to toes. Some itching on feet &?toes. Runny nose followed by congestion. Constipation.
Systemic reaction (other): Weakness & tiredness
Systemic reaction (other): Dizziness, not much of an appetite, congestion
Systemic reaction (other): Headache. Forgot to mention dry eye symtoms for every day since the shot. Feels a little better today. Slight dizziness.
Systemic reaction (other): Dry eyes
Systemic reaction (other): Stiffness in my back & joints. Some forgetfulness.
Release 8 — day 7, dose 2
Systemic reaction (other): Still having forgetfulness, dry eyes
Release 8 — day 14, dose 2
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
Symptoms: Forgetfulness, Mental fogginess, fatigue, random nausea & loss of appetite.
Release 9 — day 35, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Feeling cold | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SD | Weight decreased | ✓ | ✓ | ✓ |
| SRO | Agitation | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Food craving | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hunger | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Joint stiffness | ✓ | ✓ | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release