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8QT-26354-76118

4 vaccinations 7 coded responses 44 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
468 / IN
Registered
2021-03-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-31
    Registered in v-safe
  2. 2021-03-31
    Dose 1 — Moderna
  3. 2021-03-31
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pruritus, Hypersensitivity, Oropharyngeal pain, Pre-existing disease — Feeling: Fair · Site: Pain
    Free text: Sore throat and itchy eyes. Likely due to existing year round allergies but its just a lot worse today. Could be a fluke. Wanted to mention just in case
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal, Frequent bowel movements, Gastrointestinal disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Not full on diarrhea but definitely GI distress and weird/frequent bowel movements
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-14
    Survey response — day 14, dose 1
    MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities
    Free text: 4 days straight of headaches and migraines.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-28
    Survey response — day 28, dose 1
    MedDRA: Breast pain, Oropharyngeal pain — Feeling: Fair
    Free text: Intense sore breasts/breast pain. Sore throats.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-29
    Dose 2 — Moderna
  15. 2021-04-29
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Chest pain — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Sharp Chest pains and chest tightness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Brain fog, Insomnia — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Free text: Brain fog. Inability to sleep. Pain flare of shoulder issue (was doing well previous to covid shot)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  20. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Abdominal pain
    Adult check-in
  21. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  22. 2021-05-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-05-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-18
    Dose 3 — Moderna
  30. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  31. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Abdominal pain
    Adult check-in
  32. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  33. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-25
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-04
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-16
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-30
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-17
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-05-19
    Survey response — 6 months, dose 3
    MedDRA: Respiratory tract congestion, Rhinorrhoea, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Nonstop runny nose, congestion, post nasal drip
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-05-19
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  45. 2022-05-20
  46. 2022-05-20
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  47. 2022-09-28
    Dose 4 — Pfizer-BioNTech
  48. 2022-10-23
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-10-26
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-11-06
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-11-11
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-12-28
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-29Moderna
32021-11-18Moderna No
42022-09-28Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Sore throat and itchy eyes. Likely due to existing year round allergies but its just a lot worse today. Could be a fluke. Wanted to mention just in case

2021-04-02

Systemic reaction (other): Not full on diarrhea but definitely GI distress and weird/frequent bowel movements

Release 7 — day 14, dose 1

2021-04-14

Symptoms: 4 days straight of headaches and migraines.

Release 8 — day 28, dose 1

2021-04-28

Symptoms: Intense sore breasts/breast pain. Sore throats.

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Sharp Chest pains and chest tightness

2021-05-02

Systemic reaction (other): Brain fog. Inability to sleep. Pain flare of shoulder issue (was doing well previous to covid shot)

Release 11 — 6 months, dose 3

2022-05-19

Symptoms: Nonstop runny nose, congestion, post nasal drip

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

FieldPreferred term2021-092023-042024-11
SDBreast pain ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDUpper-airway cough syndrome · · ✓
SROArthralgia ✓ ✓ ✓
SROBrain fog ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROEye pruritus ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROFrequent bowel movements ✓ ✓ ✓
SROGastrointestinal disorder ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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