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Y6X-14013-79938

5 vaccinations 10 coded responses 35 check-ins 10 free-text entries 3 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
605 / IL
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Registered in v-safe
  2. 2021-02-04
    Dose 1 — Moderna
  3. 2021-02-04
    Survey response — day 0, dose 1
    MedDRA: Pruritus — Feeling: Good · Site: Pain · Muscle or body aches, Nausea
    Free text: Itchy hand shortly after vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling hot — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Felt hot, but had no real fever.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Abdominal pain
    Adult check-in
  7. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-04
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-03-05
    Dose 2 — Moderna
  15. 2021-03-05
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  16. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · Fatigue or tiredness, Nausea
    Adult check-in
  19. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Fair · Headache
    Free text: Headache probably not related to the vaccine. vague
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good · Headache
    Free text: Headache may be unrelated to the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sinusitis — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I have been diagnosed with a sinus infection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-11
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-03-12
    Survey response — day 7, dose 2
    MedDRA: SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Fatigue or tiredness
    Free text: I have a sinus infection this week. Tested negative for Covid.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-19
    Survey response — day 14, dose 2
    MedDRA: Headache, Nausea, Paranasal sinus discomfort, Sinusitis — Feeling: Fair
    Free text: I was diagnosed with a sinus infection before my last check in. I have experienced sinus pressure, headaches, and some nausea still for the past week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-09
    Survey response — day 35, dose 2
    MedDRA: Sinus headache — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Recurring sinus headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-04-09
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-04-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-06-04
    Survey response — 3 months, dose 2
    MedDRA: Chills, Headache, SARS-CoV-2 test negative, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Periodic headaches.Also had a sinus infection or had cold go through the family. 2 of us tested negative for Covid.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  31. 2021-06-04
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  32. 2021-09-03
    Survey response — 6 months, dose 2
    MedDRA: Abdominal discomfort — Feeling: Good
    Free text: I have I termitant gastrointestinal upset that I can't always explain.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  33. 2021-12-12
    Dose 3 — Pfizer-BioNTech
  34. 2021-12-20
  35. 2021-12-22
    Call successful
    Participant prefers to complete VAERS report online
  36. 2022-03-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  37. 2022-05-06
    Dose 4 — Pfizer-BioNTech
  38. 2022-10-31
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  39. 2022-11-06
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  40. 2022-11-07
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  41. 2022-11-14
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  42. 2022-11-21
    Health check-in — day 21, dose 5
    Feeling: Fair
    Adult check-in
  43. 2022-11-28
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-12-05
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  45. 2022-12-12
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  46. 2023-05-01
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-05Moderna
32021-12-12Pfizer-BioNTech No
42022-05-06Pfizer-BioNTech No
52022-10-31Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2021-03-11 Successful Participant prefers to complete VAERS report online
2021-04-09 Successful Participant prefers to complete VAERS report online
2021-06-04 Successful
2021-12-22
 Participant prefers to complete VAERS report online

Free text

Release 3 — day 0, dose 1

2021-02-04

Systemic reaction (other): Itchy hand shortly after vaccine

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Felt hot, but had no real fever.

Release 5 — days 1–6 daily, dose 2

2021-03-09

Systemic reaction (other): Headache probably not related to the vaccine. vague

2021-03-10

Systemic reaction (other): Headache may be unrelated to the vaccine

2021-03-11

Systemic reaction (other): I have been diagnosed with a sinus infection.

Release 5 — day 7, dose 2

2021-03-12

Systemic reaction (other): I have a sinus infection this week. Tested negative for Covid.

Release 5 — day 14, dose 2

2021-03-19

Symptoms: I was diagnosed with a sinus infection before my last check in. I have experienced sinus pressure, headaches, and some nausea still for the past week.

Release 7 — day 35, dose 2

2021-04-09

Symptoms: Recurring sinus headache

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: Periodic headaches.Also had a sinus infection or had cold go through the family. 2 of us tested negative for Covid.

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: I have I termitant gastrointestinal upset that I can't always explain.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort ✓ · ✓
SDChills ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDParanasal sinus discomfort ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSinus headache ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSARS-CoV-2 test negative ✓ ✓ ✓
SROSinusitis ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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