6WQ-75467-03425
4 vaccinations
14 coded responses
39 check-ins
14 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 209 / MD
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
V3E-32838-98617
Adult relative or friend · Male · 2021-10-27
Timeline
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2021-01-27
Dose 1 — Moderna
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2021-01-29
Registered in v-safe
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · ChillsFree text: Not today, evening of first day, part of second day. I'm fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
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2021-02-21
Survey response — day 21, dose 1MedDRA: Vision blurred — Feeling: GoodFree text: Blurry visionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Dose 2 — Moderna
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2021-02-24
Survey response — day 0, dose 2MedDRA: Chills — Feeling: Good · HeadacheFree text: Slight chillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Disorientation, Food craving — Feeling: Good · ChillsFree text: Yesterday, slight sense of disorientation, mild exercise..beneficial. sudden sugar craving..must watch. Drink water.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Good · ChillsFree text: The chills readily abate increased activityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-18
- 2021-03-25
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2021-04-01
Survey response — day 35, dose 2MedDRA: Vision blurred — Feeling: FairFree text: Blurry visionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-05-26
Survey response — 3 months, dose 2MedDRA: Pre-existing disease, Vision blurred, Visual impairment — Feeling: FairFree text: Blurry vision. Interferes with reading. The blurry vision is definitely a new wrinkle. I'm trying to be very careful about what I eat. I did have some blurry vision before the vaccination but not like this it interferes with my readingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-25
Dose 3 — Moderna
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Injection site swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint painsFree text: Swelling less today at injection site. Was 3 golf balls, used ice packs, now 1 golf ball. Will increase daily physical activity and use iceMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Injection site swelling, Injection site warmth — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Injection site still warm to the touch and slightly swollen will apply iceMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Joint pains, Fatigue or tirednessAdult check-in
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Pain, Pre-existing disease — Feeling: Good · Site: Swelling · ChillsFree text: Only that if there's an underlying condition or an existing ache or pain, it's going to be worse while you're healing from the vaccination; i.e., the osteoarthritis in my right knee.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-08
- 2021-11-15
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2021-11-22
Survey response — day 28, dose 3MedDRA: Lung disorder — Feeling: GoodFree text: Unrelated. Need more aerobic exercise to improve pulmonaryMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-06
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2022-01-24
Survey response — 3 months, dose 3MedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-04-08
Dose 4 — Moderna
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2022-04-18
Survey response — day 7, dose 4MedDRA: Asthenia, Injection site pain — Feeling: Good · Fatigue or tirednessFree text: This 4th dose (booster): sore arm/injection site, 3 days. Two days less peppyMedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-22
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2022-07-08
Survey response — 3 months, dose 4MedDRA: Arthralgia, Chills, Fatigue, Feeling hot, Inflammation — Feeling: Good · Be unable to do your normal daily activitiesFree text: One day only..unrelated, inflamation, chills, hot, fatigue, achey joints, no fever. Fine now..sometimes that's how my body signals me to take a breakMedDRA releases: 2024-11 · check-in free text available
- 2022-10-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Not today, evening of first day, part of second day. I'm fine.
Release 4 — day 21, dose 1
Symptoms: Blurry vision
Release 4 — day 0, dose 2
Systemic reaction (other): Slight chill
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday, slight sense of disorientation, mild exercise..beneficial. sudden sugar craving..must watch. Drink water.
Systemic reaction (other): The chills readily abate increased activity
Release 6 — day 35, dose 2
Symptoms: Blurry vision
Release 8 — 3 months, dose 2
Symptoms: Blurry vision. Interferes with reading. The blurry vision is definitely a new wrinkle. I'm trying to be very careful about what I eat. I did have some blurry vision before the vaccination but not like this it interferes with my reading
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling less today at injection site. Was 3 golf balls, used ice packs, now 1 golf ball. Will increase daily physical activity and use ice
Systemic reaction (other): Injection site still warm to the touch and slightly swollen will apply ice
Systemic reaction (other): Only that if there's an underlying condition or an existing ache or pain, it's going to be worse while you're healing from the vaccination; i.e., the osteoarthritis in my right knee.
Release 10 — day 28, dose 3
Symptoms: Unrelated. Need more aerobic exercise to improve pulmonary
Release 11 — 3 months, dose 3
Symptoms: Runny nose
Release 11 — day 7, dose 4
Systemic reaction (other): This 4th dose (booster): sore arm/injection site, 3 days. Two days less peppy
Release 12 — 3 months, dose 4
Symptoms: One day only..unrelated, inflamation, chills, hot, fatigue, achey joints, no fever. Fine now..sometimes that's how my body signals me to take a break
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 | Arthralgia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Lung disorder | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Food craving | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release