6LU-29341-48515
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 544 / WI
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-04
Dose 1 — Moderna
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2021-02-05
Registered in v-safe
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Hypoacusis — Feeling: Good · Site: PainFree text: I had a slight headache, knee ache, and tiredness but that is normal for me. Something good was my right ear came unstopped that had a sinus hearing problem. I can hear better although not perfectly yet. I thought that might help your research since some people get deaf from Covid. I'm a little scatter brained and owly but that might not be from the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Ear congestion, Headache, Pyrexia — Feeling: Good · Fever · Headache · Be unable to do your normal daily activitiesFree text: Actually the fever was last night. The headache lasted all night. I don't know if it was my usual sinus headache, or from an arthritis pill I tried yeasterday, or the shot. My ear went back to stopped up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
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2021-02-18
Survey response — day 14, dose 1MedDRA: Erythema, Pain, Swelling — Feeling: FairFree text: About an inch below the hole there was some swelling and redness but it went away the same day. Yesterday and today I have a pain but I hope it's just gas.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
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2021-03-04
Dose 2 — Moderna
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2021-03-04
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dizzy but only for a few minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-10
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2021-03-11
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Good · Headache, Joint painsFree text: not necessarily from the shot but I don't know so I checked itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
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2021-04-01
Survey response — day 28, dose 2MedDRA: Head discomfort, Pre-existing disease — Feeling: GoodFree text: There were a few times when a strange sensation went through my head but I figure it had to do with the sinus dealy I have.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-02
- 2022-03-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I had a slight headache, knee ache, and tiredness but that is normal for me. Something good was my right ear came unstopped that had a sinus hearing problem. I can hear better although not perfectly yet. I thought that might help your research since some people get deaf from Covid. I'm a little scatter brained and owly but that might not be from the shot.
Systemic reaction (other): Actually the fever was last night. The headache lasted all night. I don't know if it was my usual sinus headache, or from an arthritis pill I tried yeasterday, or the shot. My ear went back to stopped up.
Release 4 — day 14, dose 1
Symptoms: About an inch below the hole there was some swelling and redness but it went away the same day. Yesterday and today I have a pain but I hope it's just gas.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy but only for a few minutes
Release 5 — day 7, dose 2
Systemic reaction (other): not necessarily from the shot but I don't know so I checked it
Release 6 — day 28, dose 2
Symptoms: There were a few times when a strange sensation went through my head but I figure it had to do with the sinus dealy I have.
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Ear congestion | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoacusis | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release