5YX-74362-83124
5 vaccinations
12 coded responses
55 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 484 / MI
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-09
Registered in v-safe
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2021-03-09
Dose 1 — Moderna
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2021-03-09
Survey response — day 0, dose 1MedDRA: Palpitations — Feeling: GoodFree text: Heart palpitations this eveningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Fatigue or tirednessAdult check-in
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
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2021-04-06
Dose 2 — Moderna
- 2021-04-06
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Foggy HeadMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-04-13
- 2021-04-22
- 2021-04-27
- 2021-05-05
- 2021-05-12
- 2021-05-18
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2021-07-08
Survey response — 3 months, dose 2MedDRA: Candida infection, Office visit, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have Thrush so sore throat. Diagnosed by doctor. · Healthcare visit (other): Regular office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-13
- 2021-10-05
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2021-10-25
Dose 3 — Moderna
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2021-10-25
Survey response — day 0, dose 3MedDRA: Dysgeusia, Throat irritation — Feeling: Good · Site: PainFree text: Had metallic taste and itching in throat for about 30 mins.MedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Oral herpes — Feeling: Good · Site: PainFree text: Cold sore came outMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Oral herpes — Feeling: Good · Site: ItchingFree text: Cold sore getting betterMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
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2021-11-08
Survey response — day 14, dose 3MedDRA: Fungal infection — Feeling: GoodFree text: Yeast infectionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
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2022-04-01
Dose 4 — Moderna
- 2022-04-27
- 2022-05-18
- 2022-07-01
- 2022-09-30
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2022-10-11
Dose 5 — Moderna
- 2022-10-11
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2022-10-13
Survey response — days 1–6 daily, dose 5MedDRA: Gastrointestinal disorder — Feeling: Fair · Site: PainFree text: Epigastric issues but think from spice ateMedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: No Im good.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
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2022-10-25
Survey response — day 14, dose 5MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear pain and sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Report sent to call center — day 14, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-28
- 2022-10-28
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2022-10-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-01
Survey response — day 21, dose 5MedDRA: Ear swelling, Office visit, Oropharyngeal pain, Paranasal sinus hypersecretion, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My throat on the left side has soreness and note that my left ear feels swollen inside. I have Sinus drainage so the Nurse Practitioner diagnosed sinus infection. Only have two days left of tetracycline so thinking its something else. ??MedDRA releases: 2024-11 · check-in free text available
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2022-11-01
Report sent to call center — day 21, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-02
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2022-11-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-15
- 2022-11-22
- 2023-01-10
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2023-04-11
Survey response — 6 months, dose 5MedDRA: Drug hypersensitivity, Irritable bowel syndrome, Pre-existing disease, Vertigo — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-10-11 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Heart palpitations this evening
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Foggy Head
Release 9 — 3 months, dose 2
Symptoms: I have Thrush so sore throat. Diagnosed by doctor.
Healthcare visit (other): Regular office visit
Release 10 — day 0, dose 3
Systemic reaction (other): Had metallic taste and itching in throat for about 30 mins.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cold sore came out
Systemic reaction (other): Cold sore getting better
Release 10 — day 14, dose 3
Symptoms: Yeast infection
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Epigastric issues but think from spice ate
Systemic reaction (other): No Im good.
Release 12 — day 14, dose 5
Symptoms: Ear pain and sore throat
Release 12 — day 21, dose 5
Symptoms: My throat on the left side has soreness and note that my left ear feels swollen inside. I have Sinus drainage so the Nurse Practitioner diagnosed sinus infection. Only have two days left of tetracycline so thinking its something else. ??
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Candida infection | ✓ | ✓ | ✓ |
| SD | Drug hypersensitivity | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Ear swelling | · | · | ✓ |
| SD | Fungal infection | · | · | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Dysgeusia | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal disorder | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oral herpes | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release