XZR-14604-53721
3 vaccinations
11 coded responses
37 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 535 / WI
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-07
Registered in v-safe
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2021-04-07
Dose 1 — Moderna
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2021-04-07
Survey response — day 0, dose 1MedDRA: Salivary gland pain, Salivary hypersecretion — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal painFree text: Increased discomfort in salivary glands, increased watery mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-10
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2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-21
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2021-04-28
Survey response — day 21, dose 1MedDRA: Cough, Fatigue, Oropharyngeal pain, Sneezing — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sore throat, coughing, sneezing, extreme fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Dose 2 — Moderna
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2021-05-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-26
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2021-06-02
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Blood pressure decreased, Hot flush — Feeling: FairFree text: Food poisoning like stomach pain one night. Blood pressure dropped with hot flashes. Lasted about 20 mins. Then gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
- 2021-06-17
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2021-08-04
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Secretion discharge — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe headcold, coughing, sore throat. Lingering cough and mucus for three weeks.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-03
Survey response — 6 months, dose 2MedDRA: Heavy menstrual bleeding — Feeling: GoodFree text: Extended periods!!!MedDRA releases: 2024-11 · check-in free text available
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2022-02-03
Dose 3 — Pfizer-BioNTech
- 2022-02-03
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2022-02-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-02-06
- 2022-02-07
- 2022-02-08
- 2022-02-09
- 2022-02-10
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2022-02-17
Survey response — day 14, dose 3MedDRA: Catarrh, Cough, Increased upper airway secretion, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, cough, mucous build up in throat.MedDRA releases: 2024-11 · check-in free text available
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2022-02-24
Survey response — day 21, dose 3MedDRA: Cough, Fatigue — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Coughing all day and night. Extreme fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-03-03
Survey response — day 28, dose 3MedDRA: Catarrh, Cough, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Prolonged coughing, mucous build up, extreme fatigueMedDRA releases: 2024-11 · check-in free text available
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2022-03-10
Survey response — day 35, dose 3MedDRA: Cough, Increased upper airway secretion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Mucous in throat, continued coughing. Going on 4 weeks now.MedDRA releases: 2024-11 · check-in free text available
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2022-03-17
Survey response — day 42, dose 3MedDRA: Cough, Dyspnoea, Increased upper airway secretion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Heavy coughing, difficulty taking in a breath, fluid at back of throat.MedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Survey response — 3 months, dose 3MedDRA: Cough, Increased upper airway secretion, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Coughing and headcold, lots of mucous in throat.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2022-02-03 | Pfizer-BioNTech | No |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Increased discomfort in salivary glands, increased watery mouth
Release 8 — day 21, dose 1
Symptoms: Sore throat, coughing, sneezing, extreme fatigue
Release 8 — day 28, dose 2
Symptoms: Food poisoning like stomach pain one night. Blood pressure dropped with hot flashes. Lasted about 20 mins. Then gone.
Release 9 — 3 months, dose 2
Symptoms: Severe headcold, coughing, sore throat. Lingering cough and mucus for three weeks.
Release 10 — 6 months, dose 2
Symptoms: Extended periods!!!
Release 11 — day 14, dose 3
Symptoms: Sore throat, cough, mucous build up in throat.
Release 11 — day 21, dose 3
Symptoms: Coughing all day and night. Extreme fatigue.
Release 11 — day 28, dose 3
Symptoms: Prolonged coughing, mucous build up, extreme fatigue
Release 11 — day 35, dose 3
Symptoms: Mucous in throat, continued coughing. Going on 4 weeks now.
Release 11 — day 42, dose 3
Symptoms: Heavy coughing, difficulty taking in a breath, fluid at back of throat.
Release 11 — 3 months, dose 3
Symptoms: Coughing and headcold, lots of mucous in throat.
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 | Blood pressure decreased | ✓ | ✓ | ✓ |
| SD | Catarrh | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Secretion discharge | ✓ | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Salivary gland pain | ✓ | ✓ | ✓ |
| SRO | Salivary hypersecretion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release