XC8-59611-49497
5 vaccinations
23 coded responses
56 check-ins
23 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 431 / OH
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
BP5-67348-06402
Child or adolescent in my care · Male · 2022-06-26
HDC-23675-32884
Child or adolescent in my care · Male · 2023-03-04
Timeline
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2020-12-31
Registered in v-safe
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2020-12-31
Dose 1 — Moderna
- 2020-12-31
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2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-02
- 2021-01-03
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Breast feeding — Feeling: GoodFree text: Possible dip in milk supply (I'm breastfeeding)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
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2021-01-07
Survey response — day 7, dose 1MedDRA: Oedema peripheral — Feeling: GoodFree text: Axillary swelling in both axillae, worse on the side with the injection. No palpable nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-21
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2021-01-29
Dose 2 — Moderna
- 2021-01-29
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2021-01-29
Survey response — day 0, dose 2MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Good · Site: PainFree text: Lightheaded in brief episodes (10-15 min at a time) starting 30 min after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Pain of skin, Sensitive skin — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Skin pain/sensitivityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · HeadacheFree text: Swollen axillary lymph node (injection side)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: ItchingFree text: Swollen axillary node on injection sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · HeadacheAdult check-in
- 2021-02-03
- 2021-02-04
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2021-02-05
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen axillary nodes (bilateral)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 14, dose 2MedDRA: Headache, Oropharyngeal pain, Paranasal sinus discomfort, Respiratory tract congestion, Rhinitis, Upper respiratory tract infection — Feeling: FairFree text: Upper respiratory infection - sinus pressure, congestion, rhinitis, headache, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — day 21, dose 2MedDRA: Mastitis, Upper respiratory tract infection — Feeling: Fair · Be unable to workFree text: URI starting 2/11/2021Mastitis starting 2/13/2021Both improving. Taking dicloxacillin 500mg qid x10 daysMedDRA 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 35, dose 2MedDRA: Diarrhoea, Food poisoning, Gastroenteritis viral, Vomiting — Feeling: Good · Be unable to workFree text: Stomach virus, vomiting and diarrhea for 2 days. I suspect food poisoningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-04-30
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2021-07-30
Survey response — 6 months, dose 2MedDRA: Hypersensitivity — Feeling: GoodFree text: AllergiesMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-03
Dose 3 — Moderna
- 2021-11-03
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Good · Site: Pain · HeadacheFree text: Dizziness /lightheadedMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion, Sinus pain, Upper respiratory tract infection — Feeling: Fair · HeadacheFree text: Sinus pain and congestion (I think from a URI but symptoms started around the same time as injection)MedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain, Sinus congestion — Feeling: Fair · HeadacheFree text: Sore throat and sinus congestionMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Upper respiratory tract infection — Feeling: Fair · HeadacheFree text: Upper respiratory infectionMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · HeadacheFree text: Cough, congestionMedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Survey response — day 7, dose 3MedDRA: Cough, Upper respiratory tract infection — Feeling: Poor · HeadacheFree text: Cough, uriMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-24
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2021-12-01
Survey response — day 28, dose 3MedDRA: Fatigue, Paranasal sinus discomfort, Rhinitis, Sneezing — Feeling: FairFree text: Sinus pressure, rhinitis, sneezing, tirednessMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
- 2021-12-15
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2022-02-02
Survey response — 3 months, dose 3MedDRA: COVID-19, Pregnancy — Feeling: Fair · Be unable to work or attend school, 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, pregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-02-02
Report sent to call center — 3 months, dose 3Be unable to work or attend school · 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)
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2022-02-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-04
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2022-07-22
Dose 4 — Pfizer-BioNTech
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2022-07-24
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen axillary nodes on vaccine sideMedDRA releases: 2024-11 · check-in free text available
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2022-07-25
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: L axillary lymph node swelling and tendernessMedDRA releases: 2024-11 · check-in free text available
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2022-07-26
Survey response — days 1–6 daily, dose 4MedDRA: Tenderness — Feeling: GoodFree text: L axillary tenderness (shot was in L arm)MedDRA releases: 2024-11 · check-in free text available
- 2022-07-27
- 2022-07-28
- 2022-07-31
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-02
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2022-10-06
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-21
- 2022-11-03
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2022-11-10
Survey response — day 35, dose 5MedDRA: Rhinorrhoea, Sinus pain — Feeling: FairFree text: Sinus pain, nasal dischargeMedDRA releases: 2024-11 · check-in free text available
- 2022-11-17
- 2023-01-05
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-07-22 | Pfizer-BioNTech | No |
| 5 | 2022-10-06 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-02 | Successful 2022-02-08 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Possible dip in milk supply (I'm breastfeeding)
Release 1 — day 7, dose 1
Systemic reaction (other): Axillary swelling in both axillae, worse on the side with the injection. No palpable nodes
Release 3 — day 0, dose 2
Systemic reaction (other): Lightheaded in brief episodes (10-15 min at a time) starting 30 min after injection
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Skin pain/sensitivity
Systemic reaction (other): Swollen axillary lymph node (injection side)
Systemic reaction (other): Swollen axillary node on injection side
Release 3 — day 7, dose 2
Systemic reaction (other): Swollen axillary nodes (bilateral)
Release 4 — day 14, dose 2
Symptoms: Upper respiratory infection - sinus pressure, congestion, rhinitis, headache, sore throat
Release 4 — day 21, dose 2
Symptoms: URI starting 2/11/2021Mastitis starting 2/13/2021Both improving. Taking dicloxacillin 500mg qid x10 days
Release 5 — day 35, dose 2
Symptoms: Stomach virus, vomiting and diarrhea for 2 days. I suspect food poisoning
Release 9 — 6 months, dose 2
Symptoms: Allergies
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness /lightheaded
Systemic reaction (other): Sinus pain and congestion (I think from a URI but symptoms started around the same time as injection)
Systemic reaction (other): Sore throat and sinus congestion
Systemic reaction (other): Upper respiratory infection
Systemic reaction (other): Cough, congestion
Release 10 — day 7, dose 3
Systemic reaction (other): Cough, uri
Release 10 — day 28, dose 3
Symptoms: Sinus pressure, rhinitis, sneezing, tiredness
Release 11 — 3 months, dose 3
Symptoms: Covid, pregnancy
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen axillary nodes on vaccine side
Systemic reaction (other): L axillary lymph node swelling and tenderness
Systemic reaction (other): L axillary tenderness (shot was in L arm)
Release 12 — day 35, dose 5
Symptoms: Sinus pain, nasal discharge
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 | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Food poisoning | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | · | ✓ |
| SD | Mastitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinitis | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper respiratory tract infection | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
| SRO | Sinus pain | · | · | ✓ |
| SRO | Submaxillary gland enlargement | ○ | ○ | ○ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release