65K-13884-07603
5 vaccinations
12 coded responses
50 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 537 / WI
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-28
Registered in v-safe
-
2021-03-28
Dose 1 — Moderna
- 2021-03-28
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Photopsia — Feeling: GoodFree text: Some occular flashing yesterday afternoon and today. Migraine?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-11
- 2021-04-19
-
2021-04-23
Dose 2 — Moderna
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2021-04-23
Survey response — day 0, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: A little foggyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-07-23
- 2021-10-23
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2021-11-23
Dose 3 — Moderna
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2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Headache, Lymphadenopathy, Nausea, Pyrexia — Feeling: Fair · Site: Pain, Redness · Be unable to do your normal daily activitiesFree text: Moderate swollen lymph node in armpit today; yesterday moderate fatigue and fever and mild nausea and headacheMedDRA releases: 2024-11 · check-in free text available
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2021-11-27
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: RednessFree text: Swollen lymph node in armpitMedDRA releases: 2024-11 · check-in free text available
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2021-11-28
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node in armpitMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-11-30
-
2021-12-07
Survey response — day 14, dose 3MedDRA: Contusion — Feeling: GoodFree text: Small bruise on opposite, lower side of vaccinated armMedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Survey response — day 21, dose 3MedDRA: Contusion, Pain in extremity — Feeling: GoodFree text: I don't think that i reported this previously but i have a calf bruise that i don't recall causing. My other calf was also sore in about the same place but seems better.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-21
- 2021-12-28
- 2022-01-04
- 2022-02-22
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2022-04-09
Dose 4 — Moderna
- 2022-05-19
- 2022-05-21
- 2022-07-09
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2022-09-19
Dose 5 — Pfizer-BioNTech
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2022-09-23
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Headache, Pyrexia — Feeling: Good · Site: PainFree text: I had a low grade fever, moderate headache, and moderate fatigue the day after the booster. All resolved by 48 hours after the boosterMedDRA releases: 2024-11 · check-in free text available
- 2022-09-24
- 2022-09-25
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2022-09-26
Survey response — day 7, dose 5MedDRA: Adverse reaction — Feeling: Fair · Chills, Fatigue or tirednessFree text: Just got a high dose flu vaccine. Likely cause of any symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-10-03
- 2022-10-12
- 2022-10-17
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2022-10-24
Survey response — day 35, dose 5MedDRA: Fatigue, Nasopharyngitis — Feeling: FairFree text: Mild fatigue and cold symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-10-31
Survey response — day 42, dose 5MedDRA: Fatigue, Sinus headache — Feeling: Good · Be unable to work or attend schoolFree text: Fatigue, sinus headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-12-19
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2023-03-20
Survey response — 6 months, dose 5MedDRA: Chills, Cough, Influenza, Medical counselling, Pulmonary congestion, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-28 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
| 5 | 2022-09-19 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Some occular flashing yesterday afternoon and today. Migraine?
Release 7 — day 0, dose 2
Systemic reaction (other): A little foggy
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Moderate swollen lymph node in armpit today; yesterday moderate fatigue and fever and mild nausea and headache
Systemic reaction (other): Swollen lymph node in armpit
Systemic reaction (other): Swollen lymph node in armpit
Release 10 — day 14, dose 3
Symptoms: Small bruise on opposite, lower side of vaccinated arm
Release 10 — day 21, dose 3
Symptoms: I don't think that i reported this previously but i have a calf bruise that i don't recall causing. My other calf was also sore in about the same place but seems better.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I had a low grade fever, moderate headache, and moderate fatigue the day after the booster. All resolved by 48 hours after the booster
Release 12 — day 7, dose 5
Systemic reaction (other): Just got a high dose flu vaccine. Likely cause of any symptoms
Release 12 — day 35, dose 5
Symptoms: Mild fatigue and cold symptoms
Release 12 — day 42, dose 5
Symptoms: Fatigue, sinus headache
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 | Chills | · | · | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pulmonary congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Photopsia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release