9M8-17227-96290
4 vaccinations
10 coded responses
54 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 112 / NY
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
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2021-01-29
Dose 1 — Moderna
- 2021-01-29
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
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2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
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2021-02-12
Survey response — day 14, dose 1MedDRA: New daily persistent headache, Respiratory tract congestion, Sleep disorder — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Daily headaches, congestion, and sleep disturbancesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
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2021-02-26
Survey response — day 0, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Site: PainFree text: Arm tingling and numbness from shoulder to hand after shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-03-02
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Fair · HeadacheFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 7, dose 2MedDRA: Respiratory tract congestion — Feeling: FairFree text: Major congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-28
- 2021-04-02
- 2021-04-09
- 2021-05-28
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2021-08-29
Survey response — 6 months, dose 2MedDRA: Inflammation, Pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Body aches, inflammationMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-29
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-11
Dose 3 — Moderna
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2021-11-11
Survey response — day 0, dose 3MedDRA: Feeling hot, Hypoaesthesia, Paraesthesia — Feeling: GoodFree text: Tingling, numbness, and heat sensation up and down arm that received the injectionMedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-25
- 2021-12-04
- 2021-12-15
- 2021-12-15
- 2021-12-16
- 2021-12-23
- 2022-02-10
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2022-05-12
Survey response — 6 months, dose 3MedDRA: Appendicitis perforated, Migraine with aura, Peritonitis, Small intestinal obstruction — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Perforated appendix, small bowel obstruction, peritonitis, and migraine with auraMedDRA releases: 2024-11 · check-in free text available
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2022-05-12
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-05-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-09-23
Dose 4 — Pfizer-BioNTech
- 2022-09-23
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2022-09-24
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-09-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
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2022-10-28
Survey response — day 35, dose 4MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
- 2022-11-04
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2022-12-23
Survey response — 3 months, dose 4MedDRA: Atypical pneumonia, COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Covid-19, walking pneumoniaMedDRA releases: 2024-11 · check-in free text available
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2022-12-23
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-27
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2023-03-26
Survey response — 6 months, dose 4MedDRA: Pneumonia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-26
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-27
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
4 call center cases
2 successful · 2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: Daily headaches, congestion, and sleep disturbances
Release 4 — day 0, dose 2
Systemic reaction (other): Arm tingling and numbness from shoulder to hand after shot
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Congestion
Release 5 — day 7, dose 2
Systemic reaction (other): Major congestion
Release 9 — 6 months, dose 2
Symptoms: Body aches, inflammation
Release 10 — day 0, dose 3
Systemic reaction (other): Tingling, numbness, and heat sensation up and down arm that received the injection
Release 11 — 6 months, dose 3
Symptoms: Perforated appendix, small bowel obstruction, peritonitis, and migraine with aura
Release 12 — day 35, dose 4
Symptoms: Headaches
Release 12 — 3 months, dose 4
Symptoms: Covid-19, walking pneumonia
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 | Appendicitis perforated | · | · | ✓ |
| SD | Atypical pneumonia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Inflammation | ✓ | · | ✓ |
| SD | Migraine with aura | · | · | ✓ |
| SD | New daily persistent headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Peritonitis | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Small intestinal obstruction | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release