NPE-16463-12734
4 vaccinations
38 coded responses
52 check-ins
37 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 660 / KS
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
6SK-17295-07208
Child or adolescent in my care · Female · 2022-06-23
MA3-31981-17444
Child or adolescent in my care · Male · 2022-06-23
Timeline
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2021-01-07
Registered in v-safe
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2021-01-07
Dose 1 — Moderna
- 2021-01-07
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2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: Redness · Muscle or body achesFree text: Injection site is very bruised. I think it has been for a few days, but I didn't look at it in a mirror until today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Congested and runny nose, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — day 7, dose 1MedDRA: Respiratory tract congestion — Feeling: Good · Headache, Fatigue or tirednessFree text: Still slightly congestedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
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2021-01-28
Survey response — day 21, dose 1MedDRA: Headache, Self-medication — Feeling: FairFree text: My head has been hurting enough to treat with medicine the last 3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — day 28, dose 1MedDRA: Conjunctivitis, Nasal congestion, Tinnitus — Feeling: GoodFree text: I had ringing in my ears the last two days. I have had some nasal congestion for about five days. And I know it's probably unrelated, but I had pink eye this week. My 3 yo daughter also had it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Dose 2 — Moderna
- 2021-02-05
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Dry throat, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Congestion and a dry throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Blood lactic acid decreased, Dizziness, Lactation insufficiency — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Decreased milk supply (I'm currently nursing; my supply was half of what I expected today), lightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Pulmonary pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: My lungs hurtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Lactation disorder — Feeling: Good · Fatigue or tirednessFree text: Still having milk supply issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Suppressed lactation — Feeling: Good · Fatigue or tirednessFree text: Still having milk supply issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
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2021-02-19
Survey response — day 14, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: I got my first vaccine in my left deltoid and my second in my right deltoid. Earlier this week, I started experiencing a searing pain in my left deltoid where I got the injection. It's transient and not related to any specific movements.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
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2021-03-05
Survey response — day 28, dose 2MedDRA: Arthritis — Feeling: GoodFree text: My knuckles of my left hand feel like I have severe arthritis as of last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 35, dose 2MedDRA: Osteoarthritis, Pre-existing disease — Feeling: GoodFree text: Have had some significant osteoarthritis in both hands the past week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 42, dose 2MedDRA: Respiratory tract congestion, Rhinorrhoea, Upper-airway cough syndrome — Feeling: GoodFree text: I had a runny nose, post nasal drip, and congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — 3 months, dose 2MedDRA: Lymph node pain, Lymphadenopathy, Malaise, Vision blurred — Feeling: FairFree text: When I've been sick, my lymph nodes have been swelling and staying swollen and tender for much longer than usual. My vision has also been blurry.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-06
Survey response — 6 months, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I have a lymph node in my neck that is very reactive to illness. It swells before I feel sick and stays swollen for 1-2 weeks after. I had an ultrasound done to make sure it wasn't cancer.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-06
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-10
Dose 3 — Moderna
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2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Abnormal dreams, Insomnia, Nightmare — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Trouble sleeping, very vivid and strange nightmaresMedDRA releases: 2024-11 · check-in free text available
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2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Lacrimation increased, Rhinorrhoea — Feeling: Good · Site: PainFree text: Constantly dripping nose and watery eyesMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaFree text: My period started which I think explains these symptomsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-16
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2021-11-17
Survey response — day 7, dose 3MedDRA: Lymphadenopathy, Oropharyngeal pain, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Congestion, sore throat, nasal drip, swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
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2021-11-24
Survey response — day 14, dose 3MedDRA: Lymphadenopathy, Migraine — Feeling: Good · Be unable to work or attend schoolFree text: I had a migraine for 5 days that was not relieved by medication. Lymph nodes have continued to swell.MedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Survey response — day 21, dose 3MedDRA: Condition aggravated, Headache, Migraine, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My PVCs have been more frequent and my migraine has continued and intensified. However, the migraine has calmed down to be just a headache today.MedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-12-02
Call successfulDoes not wish to fill out VAERS report
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2021-12-10
Survey response — day 28, dose 3MedDRA: Ventricular extrasystoles — Feeling: GoodFree text: PVCs continue to increaseMedDRA releases: 2024-11 · check-in free text available
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2021-12-15
Survey response — day 35, dose 3MedDRA: Nausea — Feeling: FairFree text: Have been nauseous this week.MedDRA releases: 2024-11 · check-in free text available
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2021-12-22
Survey response — day 42, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Does utter despair because people aren't taking the pandemic seriously, the under 5 vaccine won't ever be approved, and we'll never get to reassimilate into society count?MedDRA releases: 2024-11 · check-in free text available
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2022-02-11
Survey response — 3 months, dose 3MedDRA: Injection site pain, Sensory disturbance — Feeling: FairFree text: My arm keeps burning intensely at the injection site. It's like a nerve pain. It typically happens when my deltoid flexes. It started in my left arm (where I got my first) and is now happening in my right (where I got the second & booster)MedDRA releases: 2024-11 · check-in free text available
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2022-05-11
Survey response — 6 months, dose 3MedDRA: Abdominal pain, Lymphadenopathy, Pain in extremity, Pelvic congestion, Unevaluable event — Feeling: Fair · 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: Symptoms: Abdominal pain. Also diagnosed with Pelvic Congestion Syndrome. I'm also having pains in my legs similar to how varicose veins are described but don't have any varicose veins. My lymph nodes have also been chronically swollen with no source found. · Healthcare visit (other): Ultrasounds and labsMedDRA releases: 2024-11 · check-in free text available
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2022-05-11
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-12
- 2022-05-12
- 2022-05-12
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2022-09-23
Dose 4 — Moderna
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2022-09-24
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy, Pain of skin — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Skin pain, swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2022-09-25
Survey response — days 1–6 daily, dose 4MedDRA: Injection site erythema, Injection site pain — Feeling: Good · Site: Pain, Redness, Swelling · HeadacheFree text: The redness and pain is lower than my injection siteMedDRA releases: 2024-11 · check-in free text available
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2022-09-26
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2022-09-27
Survey response — days 1–6 daily, dose 4MedDRA: Hypoaesthesia, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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: Swollen lymph nodes causing ear and facial numbnessMedDRA releases: 2024-11 · check-in free text available
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2022-09-27
Report sent to call center — days 1–6 daily, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-09-28
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: RednessFree text: Lymph node swellingMedDRA releases: 2024-11 · check-in free text available
- 2022-09-28
- 2022-09-28
- 2022-09-28
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2022-09-29
Survey response — days 1–6 daily, dose 4MedDRA: Hypoaesthesia, Lymphadenopathy — Feeling: Good · Site: Redness · Headache, Muscle or body aches, Fatigue or tirednessFree text: Lymph nodes still swollen causing face and ear numbnessMedDRA releases: 2024-11 · check-in free text available
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2022-09-30
Survey response — day 7, dose 4MedDRA: Hypoaesthesia, Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tirednessFree text: Swollen lymph nodes exacerbating numbness in ear and jawMedDRA releases: 2024-11 · check-in free text available
- 2022-10-07
- 2022-10-14
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2022-10-21
Survey response — day 28, dose 4MedDRA: Arthralgia, Myalgia, Pain in extremity, Spinal pain — Feeling: FairFree text: Arthritis like pain in my joints. Specifically my big left toe, ankles, and spine. Muscle aches.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
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2022-11-04
Survey response — day 42, dose 4MedDRA: Respiratory tract infection viral — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Have had some respiratory viruses.MedDRA releases: 2024-11 · check-in free text available
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2022-12-23
Survey response — 3 months, dose 4MedDRA: Cough, Myalgia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough, congestion, muscle achesMedDRA releases: 2024-11 · check-in free text available
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2023-03-24
Survey response — 6 months, dose 4MedDRA: Pelvic congestion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-24
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-27
- 2023-03-27
- 2023-03-27
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Call center
5 call center cases
1 successful · 4 unsuccessful
2 waits over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site is very bruised. I think it has been for a few days, but I didn't look at it in a mirror until today.
Systemic reaction (other): Congested and runny nose, sore throat
Release 2 — day 7, dose 1
Systemic reaction (other): Still slightly congested
Release 2 — day 21, dose 1
Symptoms: My head has been hurting enough to treat with medicine the last 3 days.
Release 3 — day 28, dose 1
Symptoms: I had ringing in my ears the last two days. I have had some nasal congestion for about five days. And I know it's probably unrelated, but I had pink eye this week. My 3 yo daughter also had it.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Congestion and a dry throat
Systemic reaction (other): Decreased milk supply (I'm currently nursing; my supply was half of what I expected today), lightheadedness
Systemic reaction (other): My lungs hurt
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Still having milk supply issues
Systemic reaction (other): Still having milk supply issues
Release 4 — day 14, dose 2
Symptoms: I got my first vaccine in my left deltoid and my second in my right deltoid. Earlier this week, I started experiencing a searing pain in my left deltoid where I got the injection. It's transient and not related to any specific movements.
Release 5 — day 28, dose 2
Symptoms: My knuckles of my left hand feel like I have severe arthritis as of last night.
Release 5 — day 35, dose 2
Symptoms: Have had some significant osteoarthritis in both hands the past week.
Release 5 — day 42, dose 2
Symptoms: I had a runny nose, post nasal drip, and congestion.
Release 8 — 3 months, dose 2
Symptoms: When I've been sick, my lymph nodes have been swelling and staying swollen and tender for much longer than usual. My vision has also been blurry.
Release 9 — 6 months, dose 2
Symptoms: I have a lymph node in my neck that is very reactive to illness. It swells before I feel sick and stays swollen for 1-2 weeks after. I had an ultrasound done to make sure it wasn't cancer.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Trouble sleeping, very vivid and strange nightmares
Systemic reaction (other): Constantly dripping nose and watery eyes
Systemic reaction (other): My period started which I think explains these symptoms
Release 10 — day 7, dose 3
Systemic reaction (other): Congestion, sore throat, nasal drip, swollen lymph nodes
Release 10 — day 14, dose 3
Symptoms: I had a migraine for 5 days that was not relieved by medication. Lymph nodes have continued to swell.
Release 10 — day 21, dose 3
Symptoms: My PVCs have been more frequent and my migraine has continued and intensified. However, the migraine has calmed down to be just a headache today.
Release 10 — day 28, dose 3
Symptoms: PVCs continue to increase
Release 10 — day 35, dose 3
Symptoms: Have been nauseous this week.
Release 10 — day 42, dose 3
Symptoms: Does utter despair because people aren't taking the pandemic seriously, the under 5 vaccine won't ever be approved, and we'll never get to reassimilate into society count?
Release 11 — 3 months, dose 3
Symptoms: My arm keeps burning intensely at the injection site. It's like a nerve pain. It typically happens when my deltoid flexes. It started in my left arm (where I got my first) and is now happening in my right (where I got the second & booster)
Release 11 — 6 months, dose 3
Symptoms: Abdominal pain. Also diagnosed with Pelvic Congestion Syndrome. I'm also having pains in my legs similar to how varicose veins are described but don't have any varicose veins. My lymph nodes have also been chronically swollen with no source found.
Healthcare visit (other): Ultrasounds and labs
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Skin pain, swollen lymph nodes
Systemic reaction (other): The redness and pain is lower than my injection site
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes causing ear and facial numbness
Systemic reaction (other): Lymph node swelling
Systemic reaction (other): Lymph nodes still swollen causing face and ear numbness
Release 12 — day 7, dose 4
Systemic reaction (other): Swollen lymph nodes exacerbating numbness in ear and jaw
Release 12 — day 28, dose 4
Symptoms: Arthritis like pain in my joints. Specifically my big left toe, ankles, and spine. Muscle aches.
Release 12 — day 42, dose 4
Symptoms: Have had some respiratory viruses.
Release 12 — 3 months, dose 4
Symptoms: Cough, congestion, muscle aches
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Conjunctivitis | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Osteoarthritis | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pelvic congestion | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Spinal pain | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SD | Ventricular extrasystoles | · | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | · | · | ✓ |
| SRO | Blood lactic acid decreased | ○ | ✓ | ○ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dry throat | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Lacrimation increased | · | · | ✓ |
| SRO | Lactation disorder | ✓ | ✓ | ✓ |
| SRO | Lactation insufficiency | ✓ | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Nightmare | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain of skin | · | · | ✓ |
| SRO | Pulmonary pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Suppressed lactation | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release