6VB-10557-05365
4 vaccinations
10 coded responses
53 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 208 / MD
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Registered in v-safe
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2021-04-13
Dose 1 — Moderna
- 2021-04-13
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2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint painsAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-27
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2021-05-04
Survey response — day 21, dose 1MedDRA: Abdominal discomfort, Diarrhoea, Flatulence, Oropharyngeal pain, Pain — Feeling: GoodFree text: Gastrointestinal upset (gas, pain, diarrhea), that could be connected to increase of medication (Lexapro 15mg to 20mg)Sore throat (post nasal drip, possibly allergies)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Dose 2 — Moderna
- 2021-05-11
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2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: Pain, SwellingFree text: Small red area about two inches below where I received the injection. It is about an inch long and a half inch tall.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-05-18
- 2021-05-25
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2021-06-01
Survey response — day 21, dose 2MedDRA: Abdominal discomfort — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Gastrointestinal upsetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
- 2021-06-15
- 2021-06-22
- 2021-08-10
- 2021-11-09
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2021-11-11
Dose 3 — Pfizer-BioNTech
- 2021-11-11
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2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Amplification of fibromyalgia painMedDRA releases: 2024-11 · check-in free text available
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2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling · Fever · Muscle or body achesAdult check-in
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2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesFree text: Swollen lymph nodes, especially under the left armpit.MedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · Muscle or body achesFree text: Lymph node swelling under armpitMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2022-02-10
- 2022-05-12
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2022-09-26
Dose 4 — Pfizer-BioNTech
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2022-09-27
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend schoolAdult check-in
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2022-09-28
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: PainFree text: swollen lymph node under left collarbone (same arm as shot)MedDRA releases: 2024-11 · check-in free text available
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2022-09-29
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenitis — Feeling: Good · Site: Pain, RednessFree text: lymph node on left side under collarbone still inflamedMedDRA releases: 2024-11 · check-in free text available
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2022-09-30
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: lymph node still slightly swollenMedDRA releases: 2024-11 · check-in free text available
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-10
- 2022-10-17
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2022-10-24
Survey response — day 28, dose 4MedDRA: Abdominal distension, Gastrointestinal disorder, Gastrointestinal motility disorder, Gastrointestinal pain, Pre-existing disease — Feeling: Poor · Be unable to work or attend schoolFree text: Gastrointestinal problems the last two weeks (alternating diarrhea and constipation, bloating, and pain). I think it's due to an IBS flare.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
- 2022-11-07
- 2022-12-26
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-11 | Moderna | |
| 3 | 2021-11-11 | Pfizer-BioNTech | No |
| 4 | 2022-09-26 | Pfizer-BioNTech | No |
Free text
Release 8 — day 21, dose 1
Symptoms: Gastrointestinal upset (gas, pain, diarrhea), that could be connected to increase of medication (Lexapro 15mg to 20mg)Sore throat (post nasal drip, possibly allergies)
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Small red area about two inches below where I received the injection. It is about an inch long and a half inch tall.
Release 8 — day 21, dose 2
Symptoms: Gastrointestinal upset
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Amplification of fibromyalgia pain
Systemic reaction (other): Swollen lymph nodes, especially under the left armpit.
Systemic reaction (other): Lymph node swelling under armpit
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): swollen lymph node under left collarbone (same arm as shot)
Systemic reaction (other): lymph node on left side under collarbone still inflamed
Systemic reaction (other): lymph node still slightly swollen
Release 12 — day 28, dose 4
Symptoms: Gastrointestinal problems the last two weeks (alternating diarrhea and constipation, bloating, and pain). I think it's due to an IBS flare.
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 | Abdominal distension | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Gastrointestinal motility disorder | · | · | ✓ |
| SD | Gastrointestinal pain | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Lymphadenitis | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release