663-20831-22153
5 vaccinations
6 coded responses
49 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 200 / DC
- Registered
- 2021-05-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-02
Registered in v-safe
-
2021-05-02
Dose 1 — Moderna
- 2021-05-02
-
2021-05-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-05-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-16
- 2021-05-23
-
2021-05-30
Dose 2 — Moderna
- 2021-05-30
-
2021-06-01
Survey response — days 1–6 daily, dose 2MedDRA: Cluster headache, Discomfort, Headache, Pre-existing disease, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain at the back of the cranium. Pressure inside my head. NB, I havent had traditional headaches in nearly 50 years! I have NOTHING in my house for headache because I never have them. I would NEVER take acetaminophen because its too dangerous!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Discomfort, Head discomfort — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains · Be unable to do your normal daily activitiesFree text: Lack of appetite. Pressure at the back of the cranium, which was worrisome. Lower back pressure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body achesFree text: Lack of appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-06-05
- 2021-06-06
- 2021-06-13
-
2021-06-20
Survey response — day 21, dose 2MedDRA: Eructation, Injection site pruritus — Feeling: GoodFree text: Occasional burpingapparently associated with Covid-19. This was never a problem before. Occasional itching around the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-27
- 2021-07-04
- 2021-07-11
- 2021-08-29
- 2021-11-29
-
2021-12-13
Dose 3 — Pfizer-BioNTech
-
2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-17
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-03-14
- 2022-06-13
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2022-06-14
Dose 4 — Pfizer-BioNTech
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2022-12-01
Dose 5 — Pfizer-BioNTech
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2022-12-02
Survey response — days 1–6 daily, dose 5MedDRA: Flushing, Paranasal sinus discomfort — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body achesFree text: Pressure in the sinuses, flushed cheeksMedDRA releases: 2024-11 · check-in free text available
- 2022-12-03
- 2022-12-04
- 2022-12-05
- 2022-12-06
- 2022-12-07
- 2022-12-08
- 2022-12-15
- 2022-12-22
- 2022-12-29
- 2023-01-05
- 2023-01-12
- 2023-03-02
-
2023-06-01
Survey response — 6 months, dose 5MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-02 | Moderna | |
| 2 | 2021-05-30 | Moderna | |
| 3 | 2021-12-13 | Pfizer-BioNTech | No |
| 4 | 2022-06-14 | Pfizer-BioNTech | No |
| 5 | 2022-12-01 | Pfizer-BioNTech | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Pain at the back of the cranium. Pressure inside my head. NB, I havent had traditional headaches in nearly 50 years! I have NOTHING in my house for headache because I never have them. I would NEVER take acetaminophen because its too dangerous!
Systemic reaction (other): Lack of appetite. Pressure at the back of the cranium, which was worrisome. Lower back pressure.
Systemic reaction (other): Lack of appetite.
Release 9 — day 21, dose 2
Symptoms: Occasional burpingapparently associated with Covid-19. This was never a problem before. Occasional itching around the injection site.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Pressure in the sinuses, flushed cheeks
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 | Eructation | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Cluster headache | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release