GNR-12804-66076
4 vaccinations
13 coded responses
41 check-ins
13 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 606 / IL
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
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2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
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2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-15
- 2021-01-18
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2021-01-21
Survey response — day 7, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: I have a small bruise at the injection site that is improving, shrinking and lightening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-02-04
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2021-02-06
Dose 2 — Moderna
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-09
- 2021-02-10
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
- 2021-02-20
- 2021-02-27
- 2021-03-07
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2021-05-08
Survey response — 3 months, dose 2MedDRA: Diarrhoea — 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: Diarrhea, severe and abrupt onset, intermittently over the last six weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
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2021-10-26
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
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2021-11-09
Survey response — day 14, dose 3MedDRA: Cough, Fatigue, Headache, Illness, Oropharyngeal pain, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: 11/3 - very sore throat, cough started. no fever ever during this illness. negative at home Binax now COVID test 11/4-11/5, fatigue, sore throat improving, some coughing, headache, start of severe sinus congestion 11/7 - worst day of coughing.MedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Survey response — day 21, dose 3MedDRA: Diarrhoea, Fatigue, Poor quality sleep — Feeling: FairFree text: bad diarrhea yesterday and today, but this has happened on / off since before COVID vaccine #3. fatigued today, couldn't sleep well last night so probably just related to sleepMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — day 28, dose 3MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative, Somnolence — Feeling: FairFree text: Cough congestion sleepy Likely due to the cold I got unrelated to the vaccine. Negative on two Covid testsMedDRA releases: 2024-11 · check-in free text available
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2021-11-30
Survey response — day 35, dose 3MedDRA: Headache — Feeling: FairFree text: Headache today Probably unrelated to vaccinesMedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Survey response — day 42, dose 3MedDRA: Diarrhoea, Electric shock sensation, Headache, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea like water. Suspect unrelated to vaccination. Has been off and on problem since March 2021 Prickly and zappy headache similar to when I had COVID yesterday. Negative home antigen rapid testMedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Survey response — 6 months, dose 3MedDRA: Cough, Ear pain, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test, SARS-CoV-2 test negative, Sinusitis, Sinusitis bacterial — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough. Congestion. Green nasal discharge. Headache. Throat and ear pain. Six days duration. Fatigue. No fever. Negative at home COVID antigen tests. Today diagnosed with sinus infection bacterial sinusitis. COVID PCR pending at labMedDRA releases: 2024-11 · check-in free text available
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2022-05-02
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-03
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2022-05-23
Dose 4 — Moderna
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2022-05-25
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: mild tiredness. do not think related to vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-05-27
- 2022-05-29
- 2022-05-30
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2022-06-06
Survey response — day 14, dose 4MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
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2022-06-13
Survey response — day 21, dose 4MedDRA: Pregnancy — Feeling: FairFree text: Acid reflux and vomiting. Probably due to pregnancy. Not vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-06-20
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2022-07-01
Survey response — day 35, dose 4MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID diagnosisMedDRA releases: 2024-11 · check-in free text available
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2022-07-04
Survey response — day 42, dose 4MedDRA: COVID-19, Diarrhoea, Fatigue — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID Diarrhea FatigueMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-05-23 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): I have a small bruise at the injection site that is improving, shrinking and lightening.
Release 8 — 3 months, dose 2
Symptoms: Diarrhea, severe and abrupt onset, intermittently over the last six weeks
Release 10 — day 14, dose 3
Symptoms: 11/3 - very sore throat, cough started. no fever ever during this illness. negative at home Binax now COVID test 11/4-11/5, fatigue, sore throat improving, some coughing, headache, start of severe sinus congestion 11/7 - worst day of coughing.
Release 10 — day 21, dose 3
Symptoms: bad diarrhea yesterday and today, but this has happened on / off since before COVID vaccine #3. fatigued today, couldn't sleep well last night so probably just related to sleep
Release 10 — day 28, dose 3
Symptoms: Cough congestion sleepy Likely due to the cold I got unrelated to the vaccine. Negative on two Covid tests
Release 10 — day 35, dose 3
Symptoms: Headache today Probably unrelated to vaccines
Release 10 — day 42, dose 3
Symptoms: Diarrhea like water. Suspect unrelated to vaccination. Has been off and on problem since March 2021 Prickly and zappy headache similar to when I had COVID yesterday. Negative home antigen rapid test
Release 11 — 6 months, dose 3
Symptoms: Cough. Congestion. Green nasal discharge. Headache. Throat and ear pain. Six days duration. Fatigue. No fever. Negative at home COVID antigen tests. Today diagnosed with sinus infection bacterial sinusitis. COVID PCR pending at lab
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): mild tiredness. do not think related to vaccine
Release 11 — day 14, dose 4
Symptoms: Headache
Release 12 — day 21, dose 4
Symptoms: Acid reflux and vomiting. Probably due to pregnancy. Not vaccine
Release 12 — day 35, dose 4
Symptoms: COVID diagnosis
Release 12 — day 42, dose 4
Symptoms: COVID Diarrhea Fatigue
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Electric shock sensation | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Sinusitis bacterial | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release