6NN-26570-11164
5 vaccinations
15 coded responses
48 check-ins
14 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 775 / TX
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
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2021-01-09
Survey response — day 0, dose 1MedDRA: Feeling abnormal, Feeling hot, Throat irritation — Feeling: Fair · Fatigue or tirednessFree text: Fuzzy head, warm itchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-16
- 2021-01-23
- 2021-01-30
-
2021-02-05
Dose 2 — Moderna
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Lower digestion uneasyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
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2021-10-27
Dose 3 — Moderna
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Anxiety, Brain fog, Somnolence — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Anxious night, fuzzy head, sleepy today.MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Feeling cold — Feeling: Fair · Site: Redness, Swelling · Fatigue or tirednessFree text: Cold last night.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling · NoneAdult check-in
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Asthenopia, Vision blurred — Feeling: Fair · Site: Redness, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still tired, bleary eyes.MedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea, Paraesthesia, Pruritus — Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Diarrhea once, then itchy and tingly all over. Then I slept 4 hours.MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — day 7, dose 3MedDRA: Pain of skin — Feeling: FairFree text: Sore scalpMedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — day 14, dose 3MedDRA: Pruritus — Feeling: GoodFree text: Symptoms for 12 days. Itchy, especially arm.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
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2022-04-20
Dose 4 — Moderna
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2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Feeling abnormal, Lacrimation increased — Feeling: Poor · Site: Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Watery eyes, fuzzy headMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Photophobia — Feeling: Fair · Site: Swelling · Fatigue or tirednessFree text: Eyes sensitive to lightMedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Asthenopia — Feeling: Fair · Fatigue or tirednessFree text: Tired eyesMedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy, Pruritus — Feeling: FairFree text: Itchy, slightly swollen neck glandMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-27
- 2022-05-04
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2022-05-11
Survey response — day 21, dose 4MedDRA: Eye disorder, Intraocular pressure increased, Office visit, Pre-existing disease, Vision blurred — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Blurred vision May 6. Optometrist checked my macular degeneration immediately. Not macular change. Higher eye pressure than normal. 16 went up to 22. Will recheck. Hopefully temporary reaction to booster. Had eye problems after booster vaccine. · Healthcare visit (other): Optometry immediately.MedDRA releases: 2024-11 · check-in free text available
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2022-05-11
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-12
- 2022-05-20
- 2022-05-25
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2022-06-01
Survey response — day 42, dose 4MedDRA: Dysphonia, Headache, Malaise, Nightmare, Office visit, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: ConventionDetroit.Home.Spouse and I sick.Tested5/27atdr.Headache,runnynose,hoarse,6dayssofar.Uptoday,headache.Clinic closed til5/31.Then got Paxlovid. Another dr said avoid. trazodone (for nightmares), cymbalta,bupropion, simvastatin · Healthcare visit (other): My clinicMedDRA releases: 2024-11 · check-in free text available
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2022-06-01
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-02
- 2022-06-02
- 2022-07-22
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2022-09-19
Dose 5 — Moderna
- 2022-10-03
- 2022-10-12
- 2022-10-18
- 2022-10-24
- 2022-12-19
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2023-03-20
Survey response — 6 months, dose 5MedDRA: Bronchitis, Fatigue, Feeling abnormal, Mobility decreased — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-20
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-22
- 2023-03-22
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-09-19 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Fuzzy head, warm itchy throat
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Lower digestion uneasy
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Anxious night, fuzzy head, sleepy today.
Systemic reaction (other): Cold last night.
Systemic reaction (other): Still tired, bleary eyes.
Systemic reaction (other): Diarrhea once, then itchy and tingly all over. Then I slept 4 hours.
Release 10 — day 7, dose 3
Systemic reaction (other): Sore scalp
Release 10 — day 14, dose 3
Symptoms: Symptoms for 12 days. Itchy, especially arm.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Watery eyes, fuzzy head
Systemic reaction (other): Eyes sensitive to light
Systemic reaction (other): Tired eyes
Systemic reaction (other): Itchy, slightly swollen neck gland
Release 11 — day 21, dose 4
Symptoms: Blurred vision May 6. Optometrist checked my macular degeneration immediately. Not macular change. Higher eye pressure than normal. 16 went up to 22. Will recheck. Hopefully temporary reaction to booster. Had eye problems after booster vaccine.
Healthcare visit (other): Optometry immediately.
Release 11 — day 42, dose 4
Symptoms: ConventionDetroit.Home.Spouse and I sick.Tested5/27atdr.Headache,runnynose,hoarse,6dayssofar.Uptoday,headache.Clinic closed til5/31.Then got Paxlovid. Another dr said avoid. trazodone (for nightmares), cymbalta,bupropion, simvastatin
Healthcare visit (other): My clinic
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Eye disorder | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Intraocular pressure increased | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Nightmare | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SRO | Anxiety | · | · | ✓ |
| SRO | Asthenopia | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain of skin | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Photophobia | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Vision blurred | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release