KK9-17295-97515
3 vaccinations
3 coded responses
30 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 857 / AZ
- Registered
- 2021-04-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
MEJ-12429-86350
Child or adolescent in my care · Female · 2022-03-21
Timeline
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2021-04-23
Dose 1 — Moderna
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2021-04-27
Registered in v-safe
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2021-04-27
Survey response — days 1–6 daily, dose 1MedDRA: Cold sweat, Feeling cold, Feeling hot, Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Abdominal painFree text: Hot and cold, sweaty/clammyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-04-30
Health check-in — day 7, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-05-07
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2021-05-14
Survey response — day 21, dose 1MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have been waking up and having headaches throughout the day, every day this past week. I have also been extremely fatigued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Dose 2 — Moderna
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2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-28
Health check-in — day 7, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
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2021-08-20
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Crohn's disease, Diarrhoea haemorrhagic, Hospitalisation, Intestinal haemorrhage — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I was hospitalized for bloody diarrhea and stomach pains. They found intestinal bleeding, and they diagnosed it as Chron's Disease. Never had a problem before.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-19
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2022-03-18
Dose 3 — Pfizer-BioNTech
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2022-03-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2022-03-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2022-03-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2022-03-25
Health check-in — day 7, dose 3Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2022-04-01
- 2022-04-10
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-06-17
- 2022-09-16
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna | |
| 2 | 2021-05-21 | Moderna | |
| 3 | 2022-03-18 | Pfizer-BioNTech | No |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Hot and cold, sweaty/clammy
Release 8 — day 21, dose 1
Symptoms: I have been waking up and having headaches throughout the day, every day this past week. I have also been extremely fatigued.
Release 9 — 3 months, dose 2
Symptoms: I was hospitalized for bloody diarrhea and stomach pains. They found intestinal bleeding, and they diagnosed it as Chron's Disease. Never had a problem before.
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 | Crohn's disease | ✓ | · | ✓ |
| SD | Diarrhoea haemorrhagic | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | · | ✓ |
| SD | Intestinal haemorrhage | ✓ | · | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release