6ET-32127-26656
5 vaccinations
5 coded responses
9 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 923 / CA
- Registered
- 2022-10-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-21
Dose 1 — Moderna
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2021-02-18
Dose 2 — Moderna
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2021-11-01
Dose 3 — Pfizer-BioNTech
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2022-03-31
Dose 4 — Pfizer-BioNTech
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2022-10-05
Dose 5 — Pfizer-BioNTechCo-administered: Flu
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2022-10-09
Registered in v-safe
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2022-10-09
Survey response — days 1–6 daily, dose 5MedDRA: Adverse reaction — Feeling: Good · Joint pains, Muscle or body aches, Abdominal painFree text: Don't think Sx are from vaccineMedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Health check-in — day 7, dose 5Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-19
Survey response — day 14, dose 5MedDRA: Abdominal discomfort, Abdominal pain — Feeling: FairFree text: Mild abdominal pains and brief GI upset.MedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Survey response — day 21, dose 5MedDRA: Arthralgia, Bone pain, Fatigue, Myalgia, Rest regimen — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: No fever or respiratory symptoms, but some days of severe fatigue, aching muscles, bones, and joints requiring total bed rest.MedDRA releases: 2024-11 · check-in free text available
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2022-11-02
Survey response — day 28, dose 5MedDRA: Fatigue, Loss of personal independence in daily activities, Mobility decreased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Yesterday despite adequate sleep, I experienced extreme fatigue and exhaustion. I was unable to even fix an adequate meal and had to stay in bed.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-09
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2022-11-16
Survey response — day 42, dose 5MedDRA: Arthralgia, Gait inability, Pain in extremity, Skin warm — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sudden onset of 12 hr severe pain in joint of right big toe to foot. It was warm but not swollen or red. I was not able to walk.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-04
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | No |
| 2 | 2021-02-18 | Moderna | No |
| 3 | 2021-11-01 | Pfizer-BioNTech | No |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
| 5 | 2022-10-05 | Pfizer-BioNTech | Flu |
Free text
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Don't think Sx are from vaccine
Release 12 — day 14, dose 5
Symptoms: Mild abdominal pains and brief GI upset.
Release 12 — day 21, dose 5
Symptoms: No fever or respiratory symptoms, but some days of severe fatigue, aching muscles, bones, and joints requiring total bed rest.
Release 12 — day 28, dose 5
Symptoms: Yesterday despite adequate sleep, I experienced extreme fatigue and exhaustion. I was unable to even fix an adequate meal and had to stay in bed.
Release 12 — day 42, dose 5
Symptoms: Sudden onset of 12 hr severe pain in joint of right big toe to foot. It was warm but not swollen or red. I was not able to walk.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gait inability | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Rest regimen | · | · | ✓ |
| SD | Skin warm | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release