Y6J-14643-31805
5 vaccinations
5 coded responses
59 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 550 / MN
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-03-11
Registered in v-safe
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2021-03-11
Dose 1 — Moderna
- 2021-03-11
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
-
2021-03-25
Survey response — day 14, dose 1MedDRA: Tenderness — Feeling: GoodFree text: Tenderness in medial right calf x 1 day (2 days ago). No redness or swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
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2021-04-08
Dose 2 — Moderna
- 2021-04-08
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body achesAdult check-in
- 2021-04-11
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-30
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-07-08
- 2021-10-07
-
2021-10-18
Dose 3 — ModernaCo-administered: Flu:Pneumonia
- 2021-10-29
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2022-01-17
- 2022-04-18
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2022-04-28
Dose 4 — Moderna
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2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Lightheaded this am. Resolved.MedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
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2022-06-02
Survey response — day 35, dose 4MedDRA: Chills, Cough, Fatigue, Headache, Myalgia, Nasal congestion, Sneezing, Throat irritation — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headache, chills, stuffy nose, sneezing episodes, scratchy throat, dry cough, muscle aches/pain, fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-06-09
Survey response — day 42, dose 4MedDRA: Blood pressure decreased, Chills, Cough, Fatigue, Headache, Influenza, Nasal congestion, Nasopharyngitis, Pain, SARS-CoV-2 test negative, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Got a cold/ flu on June 1st after having contact with my sick hubby. Sx: chills, aches, LBP, sneezing, cough, stuffy nose, headache, fatigue. Had 2 covid tests on June 2 (nose swab and the spit one)..both neg. Currently better, but still cough anMedDRA releases: 2024-11 · check-in free text available
- 2022-07-28
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2022-10-26
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-29
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2022-10-29
Survey response — 6 months, dose 4MedDRA: Headache, Pain, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Was ill in June. Think it was covid, but tested negative. Had brain fog x2 mo. That was better, but blood pressure went up about 2 weeks after and slowly kept creeping up. Now on BP meds. Also, covid booster 10/26 was sore, achy,and headache.MedDRA releases: 2024-11 · check-in free text available
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2022-10-29
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-30
- 2022-10-31
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2022-10-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-01
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-07
- 2023-01-25
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-10-18 | Moderna | Flu:Pneumonia |
| 4 | 2022-04-28 | Moderna | No |
| 5 | 2022-10-26 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-29 | Successful 2022-10-31 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — day 14, dose 1
Symptoms: Tenderness in medial right calf x 1 day (2 days ago). No redness or swelling.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Lightheaded this am. Resolved.
Release 11 — day 35, dose 4
Symptoms: Headache, chills, stuffy nose, sneezing episodes, scratchy throat, dry cough, muscle aches/pain, fatigue.
Release 12 — day 42, dose 4
Symptoms: Got a cold/ flu on June 1st after having contact with my sick hubby. Sx: chills, aches, LBP, sneezing, cough, stuffy nose, headache, fatigue. Had 2 covid tests on June 2 (nose swab and the spit one)..both neg. Currently better, but still cough an cut off by CDC
Release 12 — 6 months, dose 4
Symptoms: Was ill in June. Think it was covid, but tested negative. Had brain fog x2 mo. That was better, but blood pressure went up about 2 weeks after and slowly kept creeping up. Now on BP meds. Also, covid booster 10/26 was sore, achy,and headache. cut off by CDC
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 | Blood pressure decreased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release