6AX-22269-95561
4 vaccinations
15 coded responses
56 check-ins
15 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 972 / OR
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-16
Registered in v-safe
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2021-01-16
Dose 1 — Moderna
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2021-01-16
Survey response — day 0, dose 1MedDRA: Dark circles under eyes — Feeling: GoodFree text: Dark areas underneath eyes mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Yesterday about two hours after I got the vaccine I took ibuprofen will that be a problem in terms of developing immunity no pain theyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-30
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2021-02-06
Survey response — day 21, dose 1MedDRA: Diarrhoea, Dysphonia, Fatigue, Headache, Oropharyngeal pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea vomiting 5 days ago. Tired. Some headache. Hoarse and mild sore throat 3 days ago. Tired when talking. Still some tiredness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
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2021-02-20
Survey response — day 35, dose 1MedDRA: Diarrhoea, Nausea, Vomiting — Feeling: GoodFree text: Nausea vomiting and diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Dose 2 — Moderna
- 2021-02-21
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain lower — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Right lower quadrant intermittent stabbing pain last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-07
- 2021-03-14
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2021-03-21
Survey response — day 28, dose 2MedDRA: Body temperature increased, Nasal congestion, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, nasal congestion, runny nose and low-grade fever up to 100.4MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-04-04
- 2021-05-23
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2021-08-24
Survey response — 6 months, dose 2MedDRA: Malaise — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: It has been quite sometime since the last check in I do not recall what my symptoms were but some of them were similar to Covid.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-24
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-30
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2021-10-26
Dose 3 — Moderna
- 2021-10-26
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea — Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend schoolFree text: Loose stoolMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-29
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Sneezing — Feeling: Fair · Fatigue or tirednessFree text: SneezingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
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2021-11-09
Survey response — day 14, dose 3MedDRA: Chills, Fatigue, Myalgia, Nausea, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Nausea for 3 days, muscle aches, fatigue, chills and fever 101.5MedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
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2022-01-25
Survey response — 3 months, dose 3MedDRA: Ear pain, Fatigue, Oropharyngeal pain, Respiratory tract congestion, Secretion discharge, Toothache — Feeling: Good · Be unable to work or attend schoolFree text: Shortlist for Christmas extreme sore throat very tired ear pain teeth pain Became very congested a lot of mucusMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Survey response — 6 months, dose 3MedDRA: Oropharyngeal pain, Rhinorrhoea, Toothache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sore throat, a lot of nasal mucus, teeth painMedDRA releases: 2024-11 · check-in free text available
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2022-05-11
Dose 4 — Moderna
- 2022-05-11
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2022-05-12
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
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2022-08-10
Survey response — 3 months, dose 4MedDRA: Nausea, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nausea and feverMedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Survey response — 6 months, dose 4MedDRA: Fatigue, Oropharyngeal pain, Pain — Feeling: FairFree text: Fatigue body ache sore throatMedDRA releases: 2024-11 · check-in free text available
- 2023-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-21 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-05-11 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Dark areas underneath eyes mild
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday about two hours after I got the vaccine I took ibuprofen will that be a problem in terms of developing immunity no pain they
Systemic reaction (other): Sore throat
Release 3 — day 21, dose 1
Symptoms: Diarrhea vomiting 5 days ago. Tired. Some headache. Hoarse and mild sore throat 3 days ago. Tired when talking. Still some tiredness.
Release 4 — day 35, dose 1
Symptoms: Nausea vomiting and diarrhea
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Right lower quadrant intermittent stabbing pain last night
Release 6 — day 28, dose 2
Symptoms: Sore throat, nasal congestion, runny nose and low-grade fever up to 100.4
Release 9 — 6 months, dose 2
Symptoms: It has been quite sometime since the last check in I do not recall what my symptoms were but some of them were similar to Covid.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Loose stool
Systemic reaction (other): Sneezing
Release 10 — day 14, dose 3
Symptoms: Nausea for 3 days, muscle aches, fatigue, chills and fever 101.5
Release 11 — 3 months, dose 3
Symptoms: Shortlist for Christmas extreme sore throat very tired ear pain teeth pain Became very congested a lot of mucus
Release 11 — 6 months, dose 3
Symptoms: Sore throat, a lot of nasal mucus, teeth pain
Release 12 — 3 months, dose 4
Symptoms: Nausea and fever
Release 12 — 6 months, dose 4
Symptoms: Fatigue body ache sore throat
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 | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dysphonia | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Toothache | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Abdominal pain lower | ✓ | ✓ | ✓ |
| SRO | Dark circles under eyes | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Sneezing | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release