2U9-19011-62413
5 vaccinations
15 coded responses
48 check-ins
15 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 950 / CA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-08
Dose 1 — Moderna
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2021-04-09
Registered in v-safe
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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
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash pruritic — Feeling: Good · Site: PainFree text: Slight rash with itching above my knee this morning but it went awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Rash, Rash papular, Rash pruritic, Self-medication, Skin swelling, Swelling face, Swelling of eyelid — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: For the last 3 days since the shot I noticed slight swelling on my right cheek. Also experienced slight swelling of eye lids. I also experienced an itch on a rash/raised skin on my thigh when I woke up this morning. It went away. I also took a Benadryl last night. Just FYI, I have severe allergies to aspirin (anaphylaxis).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Pain in the injection site is all gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 7, dose 1MedDRA: Periorbital swelling, Swelling face — Feeling: GoodFree text: Ive had puffiness on my eyelids and right cheek since a day after the shot. I dont know if due to regular allergies or the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 14, dose 1MedDRA: Pre-existing disease, Rash, Self-medication — Feeling: GoodFree text: I developed rashes on the top of my left and right hands but Im not sure if theyre due to the shot since Ive had them before. It could be allergies to detergent soaps also. I applied cortisone and they are almost gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
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2021-05-06
Dose 2 — Moderna
- 2021-05-06
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · DiarrheaAdult check-in
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
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2021-05-20
Survey response — day 14, dose 2MedDRA: Blood pressure fluctuation — Feeling: FairFree text: Elevated blood pressure 178/93, 182/92MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-08-05
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2021-11-04
Survey response — 6 months, dose 2MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had set of vertigo episodes twice. A week or so apart. Latest was last weekend.MedDRA releases: 2024-11 · check-in free text available
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2021-12-04
Dose 3 — Moderna
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2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Joint painsAdult check-in
- 2021-12-07
- 2021-12-08
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2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: Good · HeadacheFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
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2022-01-08
Survey response — day 35, dose 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: SnifflesMedDRA releases: 2024-11 · check-in free text available
- 2022-01-15
- 2022-03-05
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2022-06-02
Dose 4 — Moderna
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2022-06-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Muscle or body achesAdult check-in
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2022-06-04
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain, SwellingFree text: I experienced lightheadedness today. Also I developed vertigo (spinning) last year after my second shot. I didn't relate it to my vaccination but I just now saw vertigo as a potential side effect.MedDRA releases: 2024-11 · check-in free text available
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2022-06-06
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain — Feeling: FairFree text: I forgot to report that was pain in my armpit gland on the arm with the injection siteMedDRA releases: 2024-11 · check-in free text available
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2022-06-07
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: FairFree text: Insomnia- waking up earlyMedDRA releases: 2024-11 · check-in free text available
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2022-06-08
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: FairFree text: Insomnia- waking up earlyMedDRA releases: 2024-11 · check-in free text available
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-07-14
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2022-09-01
Survey response — 3 months, dose 4MedDRA: Dizziness, Visual impairment — Feeling: FairFree text: Sometimes a feeling of lightheadedness, vision is not as sharp - need higher power glasses. I don't know if this is related to vaccination or too much computer screen time and lack of sleep.MedDRA releases: 2024-11 · check-in free text available
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2022-09-07
Dose 5 — ModernaCo-administered: Flu
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2022-12-01
Survey response — 6 months, dose 4MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Sniffles, slight sore throat earlier this weekMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-06 | Moderna | |
| 3 | 2021-12-04 | Moderna | No |
| 4 | 2022-06-02 | Moderna | No |
| 5 | 2022-09-07 | Moderna | Flu |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Slight rash with itching above my knee this morning but it went away
Systemic reaction (other): For the last 3 days since the shot I noticed slight swelling on my right cheek. Also experienced slight swelling of eye lids. I also experienced an itch on a rash/raised skin on my thigh when I woke up this morning. It went away. I also took a Benadryl last night. Just FYI, I have severe allergies to aspirin (anaphylaxis).
Systemic reaction (other): Pain in the injection site is all gone.
Release 7 — day 7, dose 1
Systemic reaction (other): Ive had puffiness on my eyelids and right cheek since a day after the shot. I dont know if due to regular allergies or the shot.
Release 7 — day 14, dose 1
Symptoms: I developed rashes on the top of my left and right hands but Im not sure if theyre due to the shot since Ive had them before. It could be allergies to detergent soaps also. I applied cortisone and they are almost gone.
Release 8 — day 14, dose 2
Symptoms: Elevated blood pressure 178/93, 182/92
Release 10 — 6 months, dose 2
Symptoms: Had set of vertigo episodes twice. A week or so apart. Latest was last weekend.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Congestion
Release 10 — day 35, dose 3
Symptoms: Sniffles
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I experienced lightheadedness today. Also I developed vertigo (spinning) last year after my second shot. I didn't relate it to my vaccination but I just now saw vertigo as a potential side effect.
Systemic reaction (other): I forgot to report that was pain in my armpit gland on the arm with the injection site
Systemic reaction (other): Insomnia- waking up early
Systemic reaction (other): Insomnia- waking up early
Release 12 — 3 months, dose 4
Symptoms: Sometimes a feeling of lightheadedness, vision is not as sharp - need higher power glasses. I don't know if this is related to vaccination or too much computer screen time and lack of sleep.
Release 12 — 6 months, dose 4
Symptoms: Sniffles, slight sore throat earlier this week
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 fluctuation | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Vertigo | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Periorbital swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash papular | ✓ | · | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin swelling | ○ | ✓ | ○ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Swelling of eyelid | ✓ | ✓ | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release