6GB-30435-72849
5 vaccinations
14 coded responses
54 check-ins
14 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 983 / WA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-30
Registered in v-safe
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2021-01-30
Dose 1 — Moderna
- 2021-01-30
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal, Headache, Self-medication — Feeling: Fair · Site: Pain · HeadacheFree text: I felt slightly punky and had a little headache when I got up. I took an AlkaSeltzer for Colds/Flu and felt 100% after an hourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Unevaluable event — Feeling: Good · Site: PainFree text: Arm pain is completely gone now!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
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2021-02-27
Dose 2 — Moderna
- 2021-02-27
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Dehydration, Dizziness, Fall, Insomnia, Pollakiuria — Feeling: Fair · Site: PainFree text: Insomnia last night and peed ten times. Got dehydrated and very dizzy and fell twice in my bathroom in the morning. I made a point of eating and hydrating and now feel ok. I frequently have insomnia, so its probably not vaccine-related (but I think the peeing/dehydration WAS related). The dizziness could have been caused by dehydration or sleep aids I took. I am fine now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
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2021-03-20
Survey response — day 21, dose 2MedDRA: Ear discomfort, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Congested; ears plugged up yesterday and todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — day 28, dose 2MedDRA: Asthenia, Dehydration, Herpes zoster, Insomnia, Pollakiuria — Feeling: GoodFree text: Strong reaction to second shingles shot I received 3/24/21peeing a lot, dehydration, insomnia, lack of energy. Im fine nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
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2021-10-27
Dose 3 — Moderna
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2021-10-27
Survey response — day 0, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Too soon to tellgot it 2.5 hrs agoMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizzy, lightheaded, but thankful for the boosterMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Self-medication — Feeling: Fair · Fatigue or tirednessFree text: I'm much better. I took allergy meds to clear my headMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Mobility decreased, Retching, Swelling — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Retching in morning; head feels swollen; have had to lie down all dayMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Euphoric mood, Malaise — Feeling: Fair · HeadacheFree text: Continued "yucky" or "stoned" feeling although it's been five days since I got my Moderna boosterMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-11
- 2021-11-18
- 2021-11-24
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2021-12-01
Survey response — day 35, dose 3MedDRA: Chest pain, Oropharyngeal pain — Feeling: FairFree text: A bit of chest pain and small sore throat todayI may just be dehydratedMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
- 2022-01-28
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2022-04-25
Dose 4 — Pfizer-BioNTech
- 2022-04-27
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2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Diarrhoea — Feeling: Fair · Site: Pain · DiarrheaFree text: Diarrhea since shot;,may not be related. No sickness like from ModernaMedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
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2022-05-23
Survey response — day 28, dose 4MedDRA: Arthralgia, Malaise, Neck pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: May 19 & 20, 2022felt ill but no fever. Also had severe neck/shoulder pain (still hurts 5/23). Took COVID test on 5/20 and 5/22negative. Doubt this is related to the vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
- 2022-06-06
- 2022-07-25
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2022-10-22
Dose 5 — Pfizer-BioNTech
- 2022-10-24
- 2023-04-25
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-25 | Pfizer-BioNTech | No |
| 5 | 2022-10-22 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I felt slightly punky and had a little headache when I got up. I took an AlkaSeltzer for Colds/Flu and felt 100% after an hour
Systemic reaction (other): Arm pain is completely gone now!!!
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia last night and peed ten times. Got dehydrated and very dizzy and fell twice in my bathroom in the morning. I made a point of eating and hydrating and now feel ok. I frequently have insomnia, so its probably not vaccine-related (but I think the peeing/dehydration WAS related). The dizziness could have been caused by dehydration or sleep aids I took. I am fine now.
Release 6 — day 21, dose 2
Symptoms: Congested; ears plugged up yesterday and today
Release 6 — day 28, dose 2
Symptoms: Strong reaction to second shingles shot I received 3/24/21peeing a lot, dehydration, insomnia, lack of energy. Im fine now
Release 10 — day 0, dose 3
Systemic reaction (other): Too soon to tellgot it 2.5 hrs ago
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Dizzy, lightheaded, but thankful for the booster
Systemic reaction (other): I'm much better. I took allergy meds to clear my head
Systemic reaction (other): Retching in morning; head feels swollen; have had to lie down all day
Systemic reaction (other): Continued "yucky" or "stoned" feeling although it's been five days since I got my Moderna booster
Release 10 — day 35, dose 3
Symptoms: A bit of chest pain and small sore throat todayI may just be dehydrated
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Diarrhea since shot;,may not be related. No sickness like from Moderna
Release 11 — day 28, dose 4
Symptoms: May 19 & 20, 2022felt ill but no fever. Also had severe neck/shoulder pain (still hurts 5/23). Took COVID test on 5/20 and 5/22negative. Doubt this is related to the vaccine
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 | Arthralgia | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Dehydration | ✓ | ✓ | ✓ |
| SD | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pollakiuria | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Euphoric mood | · | · | ✓ |
| SRO | Fall | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
| SRO | Retching | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release