6YK-20162-74018
3 vaccinations
10 coded responses
15 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 802 / CO
- Registered
- 2021-10-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Moderna
-
2021-04-20
Dose 2 — Moderna
-
2021-10-22
Dose 3 — Pfizer-BioNTech
-
2021-10-23
Registered in v-safe
-
2021-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Dehydration, Dizziness, Dyspepsia, Hot flush, Menstruation irregular, Photophobia, Sensitive skin — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Heartburn, hot flashes, dehydration, dizziness, weakness, worse period, light sensitivity, skin sensitivityMedDRA releases: 2024-11 · check-in free text available
-
2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Diarrhoea — Feeling: Poor · Site: Pain · Fever · Be unable to do your normal daily activitiesFree text: Same as yesterday, plus diarrhea nowMedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis, Hypoaesthesia, Injection site pain, Oropharyngeal pain, Pain in extremity, Rhinorrhoea — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend schoolFree text: This morning I woke up in a sweat. My nose was running, which made my throat slightly sore. I forgot to note yesterday that it wasn't just the site of injection that began to hurt, but my entire left arm. My left hand also went numb twice.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature decreased, Feeling hot — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend schoolFree text: My temp this morning was 96.1 but I was so hot. The temp in my condo was 69 degrees.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tirednessFree text: Some congestion as of last nightMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-11-05
-
2021-11-12
Survey response — day 21, dose 3MedDRA: Grip strength decreased, Pruritus, Tinnitus — Feeling: FairFree text: Not sure if it's related, but I keep getting a sensation that I'm going to drop things I'm gripping with my fingers. I finally did drop something three days ago. Also, I forgot...since 1st shot-tinnitus and itchy top of left footMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
-
2021-11-26
Survey response — day 35, dose 3MedDRA: Tooth fracture — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A large piece of one of my front bottom teeth chipped off yesterday while I was in bed. I've never had issues with my teeth. Probably not related to the vaccines, but reporting it just in case.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
-
2022-01-21
Survey response — 3 months, dose 3MedDRA: Dizziness, Feeling hot, Headache, Hypoaesthesia, Pain in extremity, Palpitations, Sensory disturbance, Visual impairment — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Weeks agopain in side of leg that felt like blood clot; vision issues; headaches; heart palpitations; warm sensation on bottom of foot that would come and go; lightheadedness; numbness in extremitiesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Survey response — 6 months, dose 3MedDRA: Arthralgia, Cardiac disorder, Fatigue, Metamorphopsia, Pain — Feeling: PoorFree text: Vision (rt eye) still distorted. Heart still feels fatigued. Joints and other random areas of pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Survey response — 12 months, dose 3MedDRA: Arthralgia, Diarrhoea, Eye pruritus, Fatigue, Headache, Pain, Pain in extremity, Respiratory tract irritation, Rhinorrhoea, Sneezing, Throat irritation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: After the Omicron booster... sore arm (days1-5), fatigue, body/headaches (days2-3), diarrhea (day4), intermittent joint pains/plantar foot pains (ongoing); itchy eyes/throat/lungs, runny nose, sneezing (began 1 wk after, ongoing)MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | No |
| 2 | 2021-04-20 | Moderna | No |
| 3 | 2021-10-22 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Heartburn, hot flashes, dehydration, dizziness, weakness, worse period, light sensitivity, skin sensitivity
Systemic reaction (other): Same as yesterday, plus diarrhea now
Systemic reaction (other): This morning I woke up in a sweat. My nose was running, which made my throat slightly sore. I forgot to note yesterday that it wasn't just the site of injection that began to hurt, but my entire left arm. My left hand also went numb twice.
Systemic reaction (other): My temp this morning was 96.1 but I was so hot. The temp in my condo was 69 degrees.
Systemic reaction (other): Some congestion as of last night
Release 10 — day 21, dose 3
Symptoms: Not sure if it's related, but I keep getting a sensation that I'm going to drop things I'm gripping with my fingers. I finally did drop something three days ago. Also, I forgot...since 1st shot-tinnitus and itchy top of left foot
Release 10 — day 35, dose 3
Symptoms: A large piece of one of my front bottom teeth chipped off yesterday while I was in bed. I've never had issues with my teeth. Probably not related to the vaccines, but reporting it just in case.
Release 11 — 3 months, dose 3
Symptoms: Weeks agopain in side of leg that felt like blood clot; vision issues; headaches; heart palpitations; warm sensation on bottom of foot that would come and go; lightheadedness; numbness in extremities
Release 11 — 6 months, dose 3
Symptoms: Vision (rt eye) still distorted. Heart still feels fatigued. Joints and other random areas of pain.
Release 12 — 12 months, dose 3
Symptoms: After the Omicron booster... sore arm (days1-5), fatigue, body/headaches (days2-3), diarrhea (day4), intermittent joint pains/plantar foot pains (ongoing); itchy eyes/throat/lungs, runny nose, sneezing (began 1 wk after, ongoing)
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 | Cardiac disorder | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Grip strength decreased | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Metamorphopsia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Respiratory tract irritation | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Tooth fracture | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Dehydration | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Menstruation irregular | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Photophobia | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sensitive skin | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release