63X-22813-12280
5 vaccinations
7 coded responses
62 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 168 / PA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
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2021-03-26
Survey response — day 21, dose 1MedDRA: Fatigue, Nasal congestion, Nasopharyngitis, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Common cold... stuffy, aches, fatigue. But it was only for a few days and now Im fineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Dose 2 — Moderna
- 2021-04-02
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling — Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling is not around injection site, but around the bicep of that armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing condition improved, Pyrexia, Therapeutic response unexpected — Feeling: Good · Site: SwellingFree text: So, my optometrist is mystified, but after my 102 fever, my eyes have corrected to not needing contactsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Headache, DiarrheaAdult check-in
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
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2021-11-08
Dose 3 — Moderna
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2021-11-08
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Chills, Headache, Joint painsAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-22
- 2021-11-30
- 2021-12-06
- 2021-12-13
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2021-12-20
Survey response — day 42, dose 3MedDRA: Abnormal sensation in eye, Dry eye, Nasopharyngitis, Paranasal sinus discomfort, Respiratory tract congestion — Feeling: FairFree text: I think I have a cold. Stuffy, sinus pressure, hot dry eyes, etcMedDRA releases: 2024-11 · check-in free text available
- 2022-02-09
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2022-04-20
Dose 4 — Moderna
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2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: SweatsMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-27
- 2022-06-01
- 2022-07-20
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2022-09-09
Dose 5 — Moderna
- 2022-09-09
-
2022-09-10
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2022-09-11
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-09-12
- 2022-09-13
- 2022-09-16
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
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2022-12-09
Survey response — 3 months, dose 5MedDRA: Mobility decreased, Nasopharyngitis, Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I caught a cold/sinus infection? it was not COVID. Was in bed for 5 days? still lingering after 2 weeks.MedDRA releases: 2024-11 · check-in free text available
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2023-03-10
Survey response — 6 months, dose 5MedDRA: COVID-19, Feeling abnormal — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
Free text
Release 6 — day 21, dose 1
Symptoms: Common cold... stuffy, aches, fatigue. But it was only for a few days and now Im fine
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling is not around injection site, but around the bicep of that arm
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): So, my optometrist is mystified, but after my 102 fever, my eyes have corrected to not needing contacts
Release 10 — day 42, dose 3
Symptoms: I think I have a cold. Stuffy, sinus pressure, hot dry eyes, etc
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Sweats
Release 12 — 3 months, dose 5
Symptoms: I caught a cold/sinus infection? it was not COVID. Was in bed for 5 days? still lingering after 2 weeks.
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 | Abnormal sensation in eye | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing condition improved | ○ | ✓ | ○ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release