67Y-18960-65982
4 vaccinations
11 coded responses
51 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 038 / NH
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-01
Dose 1 — Moderna
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2021-02-02
Registered in v-safe
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2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
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2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
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2021-03-04
Dose 2 — Moderna
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Body temperature increased — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: On 3/5 the day after my shot I had T 101 and joint pain so bad I could not get off sofa unassistedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-08
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-09
- 2021-04-15
- 2021-06-03
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2021-09-02
Survey response — 6 months, dose 2MedDRA: Limb operation, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: had broken arm reoperatedMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-06
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2021-09-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-11-17
Dose 3 — Moderna
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2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Upper respiratory tract congestion — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: lots or uppper respiratory congestionMedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: local reaction bigger around 4"MedDRA releases: 2024-11 · check-in free text available
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2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion — 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: nasal congestionMedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Local reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: large local reaction is receding a bitMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Fatigue, Induration, Nasal congestion, SARS-CoV-2 test — 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: arm still re and firm 3-4" still nasal congestion and wiped out seems like a long time nearly a week to feel bad from shot. got a covid test yesterday just in case awaiting resultsMedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Survey response — day 7, dose 3MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: arm reaction still hugeMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-02-18
- 2022-05-18
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2022-07-26
Dose 4 — Moderna
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2022-07-27
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-07-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-07-29
Survey response — days 1–6 daily, dose 4MedDRA: Gait disturbance, Peripheral swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: My legs were so bad i could barely walk until today and my arm swelling is the size of a tennis ballMedDRA releases: 2024-11 · check-in free text available
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2022-07-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-07-31
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: As before these shots wipe me out for a week but i haven't had covidMedDRA releases: 2024-11 · check-in free text available
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2022-08-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · Headache · Be unable to do your normal daily activitiesAdult check-in
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2022-08-02
Health check-in — day 7, dose 4Feeling: Good · Site: Pain, Itching · Headache, NauseaAdult check-in
- 2022-08-09
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2022-08-16
Survey response — day 21, dose 4MedDRA: Migraine, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: bad run of migraine for migraines. known to happen to me. started my decadron taper yesterday which hopefully will not affect my vaccine response from 7/26 2nd boosterMedDRA releases: 2024-11 · check-in free text available
- 2022-08-23
- 2022-08-30
- 2022-09-06
- 2022-10-25
- 2023-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-07-26 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): On 3/5 the day after my shot I had T 101 and joint pain so bad I could not get off sofa unassisted
Release 9 — 6 months, dose 2
Symptoms: had broken arm reoperated
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): lots or uppper respiratory congestion
Systemic reaction (other): local reaction bigger around 4"
Systemic reaction (other): nasal congestion
Systemic reaction (other): large local reaction is receding a bit
Systemic reaction (other): arm still re and firm 3-4" still nasal congestion and wiped out seems like a long time nearly a week to feel bad from shot. got a covid test yesterday just in case awaiting results
Release 10 — day 7, dose 3
Systemic reaction (other): arm reaction still huge
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): My legs were so bad i could barely walk until today and my arm swelling is the size of a tennis ball
Systemic reaction (other): As before these shots wipe me out for a week but i haven't had covid
Release 12 — day 21, dose 4
Symptoms: bad run of migraine for migraines. known to happen to me. started my decadron taper yesterday which hopefully will not affect my vaccine response from 7/26 2nd booster
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 | Limb operation | ✓ | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Gait disturbance | · | · | ✓ |
| SRO | Induration | · | · | ✓ |
| SRO | Local reaction | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | SARS-CoV-2 test | · | · | ✓ |
| SRO | Upper respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release