H55-51708-06833
4 vaccinations
9 coded responses
44 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 130 / NY
- 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
- 2021-01-14
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Good · Site: Pain, SwellingFree text: I had a metal taste in my mouth for first day, starting 10min after injection. Gone next day. Didnt return.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
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2021-01-26
Survey response — day 14, dose 1MedDRA: Headache, Injection site erythema, Injection site swelling, Injection site warmth, Lymphadenopathy — Feeling: GoodFree text: On Days 9-12 my injection site turned red, hot and swollen for the first time - 3 diameter. I also had 2 swollen axillary lymph nodes - moderate pain. Headaches mild daily. Considered PCP.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
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2021-02-09
Dose 2 — Moderna
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2021-02-09
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Rash-across the chest, whole back; looks like a heat rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Nausea, DiarrheaAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
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2021-02-16
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-23
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2021-03-02
Survey response — day 21, dose 2MedDRA: Pain in extremity — Feeling: Fair · Be unable to work, 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: Severe joint pain in hands bilaterally at ALL knuckles starting 5 days ago. Progressed this morning to include wrists and elbows. Difficulty working.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-09
Survey response — day 28, dose 2MedDRA: Arthralgia, Feeling abnormal, Memory impairment, Myalgia, Pain in extremity — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Severe pain in ALL knuckles bilateral. Severe muscle pain in forearm muscle and elbow. No trauma.Mild-moderate brain fog ongoing since first injection. Terrible short term memory.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — day 28, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-10
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2021-12-11
Dose 3 — Moderna
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2021-12-14
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Fatigue, Headache, Pain in extremity, Spinal pain — Feeling: GoodFree text: Arm pain and heaviness continuing to fingertips and spine ipsilateral to injection with headache for 24 hours after shot. Fatigue for 48hrsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
- 2021-12-17
- 2021-12-18
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2021-12-25
Survey response — day 14, dose 3MedDRA: Headache — Feeling: GoodFree text: Mild intermittent headaches daily, always upon wakingMedDRA releases: 2024-11 · check-in free text available
- 2022-01-01
- 2022-01-08
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2022-01-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-22
- 2022-03-12
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2022-11-29
Dose 4 — Moderna
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2022-11-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
- 2022-12-02
- 2022-12-03
- 2022-12-06
- 2022-12-13
- 2022-12-20
- 2022-12-27
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2023-01-08
Survey response — day 35, dose 4MedDRA: Abdominal pain upper, Cough, Diarrhoea, Facial pain, Headache, Myalgia, Neck pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-01-10
Survey response — day 42, dose 4MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
| 4 | 2022-11-29 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I had a metal taste in my mouth for first day, starting 10min after injection. Gone next day. Didnt return.
Release 2 — day 14, dose 1
Symptoms: On Days 9-12 my injection site turned red, hot and swollen for the first time - 3 diameter. I also had 2 swollen axillary lymph nodes - moderate pain. Headaches mild daily. Considered PCP.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Rash-across the chest, whole back; looks like a heat rash
Release 4 — day 21, dose 2
Symptoms: Severe joint pain in hands bilaterally at ALL knuckles starting 5 days ago. Progressed this morning to include wrists and elbows. Difficulty working.
Release 5 — day 28, dose 2
Symptoms: Severe pain in ALL knuckles bilateral. Severe muscle pain in forearm muscle and elbow. No trauma.Mild-moderate brain fog ongoing since first injection. Terrible short term memory.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Arm pain and heaviness continuing to fingertips and spine ipsilateral to injection with headache for 24 hours after shot. Fatigue for 48hrs
Release 10 — day 14, dose 3
Symptoms: Mild intermittent headaches daily, always upon waking
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 | Abdominal pain upper | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Facial pain | · | · | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Spinal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release