6JY-91055-05894
5 vaccinations
7 coded responses
51 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 501 / IA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-02
Registered in v-safe
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2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
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2021-04-22
Survey response — day 21, dose 1MedDRA: Abdominal discomfort — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Abdominal distress consistent with allergic reaction to something I ate, although I didnt eat anything unusual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Dose 2 — Moderna
- 2021-04-29
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2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Abdominal tenderness, Decreased appetite — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Not nausea, but abdominal tenderness and lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Nausea — Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessFree text: Slight stomach discomfort, not to the extent of nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-28
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2021-11-05
Dose 3 — Moderna
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2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
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2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-11-09
- 2021-11-11
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2021-11-12
Survey response — day 7, dose 3MedDRA: Injection site bruising — Feeling: GoodFree text: A bruise at the injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-26
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2021-12-03
Survey response — day 28, dose 3MedDRA: Food poisoning, Hypersensitivity, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had some kind of food poisoning or allergic reaction. Within about 4 hours, the vomiting passed.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
- 2022-02-04
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2022-04-08
Dose 4 — Moderna
- 2022-04-18
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
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2022-07-08
Survey response — 3 months, dose 4MedDRA: Back pain, Cough, Headache, Neck pain, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Light congestion, periodic resonant and unproductive cough, headache, back and neck acheMedDRA releases: 2024-11 · check-in free text available
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2022-09-09
Dose 5 — Pfizer-BioNTech
- 2022-09-21
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
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2022-10-21
Survey response — day 42, dose 5MedDRA: Respiratory tract congestion, Upper-airway cough syndrome — Feeling: FairFree text: Some congestion and post nasal dripMedDRA releases: 2024-11 · check-in free text available
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-09-09 | Pfizer-BioNTech | No |
Free text
Release 7 — day 21, dose 1
Symptoms: Abdominal distress consistent with allergic reaction to something I ate, although I didnt eat anything unusual.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Not nausea, but abdominal tenderness and lack of appetite
Systemic reaction (other): Slight stomach discomfort, not to the extent of nausea
Release 10 — day 7, dose 3
Systemic reaction (other): A bruise at the injection site
Release 10 — day 28, dose 3
Symptoms: Had some kind of food poisoning or allergic reaction. Within about 4 hours, the vomiting passed.
Release 12 — 3 months, dose 4
Symptoms: Light congestion, periodic resonant and unproductive cough, headache, back and neck ache
Release 12 — day 42, dose 5
Symptoms: Some congestion and post nasal drip
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 | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Food poisoning | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Abdominal tenderness | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release