6FU-17111-54612
5 vaccinations
9 coded responses
53 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 891 / NV
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
CEF-97558-89756
Child or adolescent in my care · Female · 2021-11-11
Timeline
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2021-02-04
Registered in v-safe
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2021-02-04
Dose 1 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · NauseaAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
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2021-06-03
Survey response — 3 months, dose 2MedDRA: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: GoodFree text: I had a sore throat with low grade fever that lasted no more than 2 days, negative COVID test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-04
Survey response — 6 months, dose 2MedDRA: Asthenia, Body temperature increased, Bronchitis, Cough, Exercise tolerance decreased, Mobility decreased, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Just flare ups of running around 99° and a slight bronchial cough. Covid tests are negative. After work I just lay in bed, no energy to exercise. Maybe asthmatic issues? Not sure.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-11
Dose 3 — Moderna
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2021-11-11
Survey response — day 0, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: LightheadednessMedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Dyspepsia — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, NauseaFree text: HeartburnMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-20
- 2021-11-27
- 2021-12-02
- 2021-12-10
- 2021-12-17
- 2021-12-23
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2022-02-10
Survey response — 3 months, dose 3MedDRA: COVID-19, Post-acute COVID-19 syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I am suffering from Long Covid symptoms. I had a total of about 20 different symptoms with Covid and now I am still experiencing issues with 7-8 of them. Wish the vaccine could have better protected me since ya'll think it's over. Not happy!MedDRA releases: 2024-11 · check-in free text available
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2022-02-10
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-02-11
-
2022-07-01
Dose 4 — Moderna
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2022-07-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-07-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-07-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-07-06
- 2022-07-07
- 2022-07-11
- 2022-07-17
- 2022-07-29
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2022-08-14
Survey response — day 42, dose 4MedDRA: Head discomfort, Menstrual disorder, SARS-CoV-2 test — Feeling: FairFree text: Pressure headaches and menstruation issues; awaiting Covid PCR results since the CDC is lame and thinks covid is over and wants me to die.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
-
2022-11-05
Dose 5 — Moderna
-
2022-11-06
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-11-08
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2022-11-09
Survey response — days 1–6 daily, dose 5MedDRA: Rhinorrhoea — Feeling: Good · Fatigue or tirednessFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-11-12
- 2022-12-05
- 2022-12-12
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2022-12-19
Survey response — day 42, dose 5MedDRA: Cough, Ear pain, Fatigue, Malaise, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Currently sick- not Covid according to rapid tests. Headache, stuffy nose, earache, sore throat, cough, fatigue, already been sick 6 days. At least I mask.MedDRA releases: 2024-11 · check-in free text available
- 2023-02-07
-
2023-05-06
Survey response — 6 months, dose 5MedDRA: Post-acute COVID-19 syndrome — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-07-01 | Moderna | No |
| 5 | 2022-11-05 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — 3 months, dose 2
Symptoms: I had a sore throat with low grade fever that lasted no more than 2 days, negative COVID test.
Release 9 — 6 months, dose 2
Symptoms: Just flare ups of running around 99° and a slight bronchial cough. Covid tests are negative. After work I just lay in bed, no energy to exercise. Maybe asthmatic issues? Not sure.
Release 10 — day 0, dose 3
Systemic reaction (other): Lightheadedness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Heartburn
Release 11 — 3 months, dose 3
Symptoms: I am suffering from Long Covid symptoms. I had a total of about 20 different symptoms with Covid and now I am still experiencing issues with 7-8 of them. Wish the vaccine could have better protected me since ya'll think it's over. Not happy!
Release 12 — day 42, dose 4
Symptoms: Pressure headaches and menstruation issues; awaiting Covid PCR results since the CDC is lame and thinks covid is over and wants me to die.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Runny nose
Release 12 — day 42, dose 5
Symptoms: Currently sick- not Covid according to rapid tests. Headache, stuffy nose, earache, sore throat, cough, fatigue, already been sick 6 days. At least I mask.
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 | Asthenia | ✓ | · | ✓ |
| SD | Body temperature increased | ✓ | · | ✓ |
| SD | Bronchitis | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Exercise tolerance decreased | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Menstrual disorder | · | · | ✓ |
| SD | Mobility decreased | ✓ | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Post-acute COVID-19 syndrome | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release