6RC-21562-48988
4 vaccinations
10 coded responses
54 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 542 / WI
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
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2021-01-27
Dose 1 — Moderna
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2021-01-27
Survey response — day 0, dose 1MedDRA: Feeling hot — Feeling: Good · Site: PainFree text: I feel very warmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
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2021-02-17
Survey response — day 21, dose 1MedDRA: Influenza, Vaccination site erythema, Vaccination site pruritus, Vaccination site warmth — Feeling: PoorFree text: I started feeling like I have the flu. No temp. The arm where i was vaccinated is red, itchy, and warm. This has all happened 2wks post vaccine. Lasted 2 days. Now better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
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2021-03-04
Dose 2 — Moderna
- 2021-03-04
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Pulmonary congestion — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Lung congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Dizziness, Headache, Limb discomfort — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Leg muscles very weak. Im dizzy, feel very weak, headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Decreased appetite, Dizziness, Nausea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: I have general weakness. Unable to be up without having to sit down as i feel i will pass out. No appetite nauseated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Muscular weakness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Remain to have some weakness in my legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Site: Redness, Itching · HeadacheFree text: Poor appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Decreased appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 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: Blood glucose increased — Feeling: GoodFree text: It seems my blood sugars are much higher since vaccination. Before vaccination, they were under controlMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-02
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2021-11-08
Dose 3 — Moderna
- 2021-11-08
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2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-11-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-22
- 2021-12-01
- 2021-12-06
- 2021-12-13
- 2021-12-22
- 2022-02-07
- 2022-05-11
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2022-11-09
Dose 4 — Moderna
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2022-11-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2022-11-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body achesAdult check-in
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2022-11-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Itching · Fatigue or tirednessAdult check-in
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2022-11-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2022-11-15
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-07
- 2022-12-14
- 2022-12-21
- 2023-02-08
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-11-09 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): I feel very warm
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness.
Release 4 — day 21, dose 1
Symptoms: I started feeling like I have the flu. No temp. The arm where i was vaccinated is red, itchy, and warm. This has all happened 2wks post vaccine. Lasted 2 days. Now better.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Lung congestion
Systemic reaction (other): Leg muscles very weak. Im dizzy, feel very weak, headache.
Systemic reaction (other): I have general weakness. Unable to be up without having to sit down as i feel i will pass out. No appetite nauseated.
Systemic reaction (other): Remain to have some weakness in my legs
Systemic reaction (other): Poor appetite
Systemic reaction (other): Decreased appetite
Release 8 — 3 months, dose 2
Symptoms: It seems my blood sugars are much higher since vaccination. Before vaccination, they were under control
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 | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Vaccination site erythema | ✓ | ✓ | ✓ |
| SD | Vaccination site pruritus | ✓ | ✓ | ✓ |
| SD | Vaccination site warmth | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pulmonary congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release