355-21117-78918
2 vaccinations
12 coded responses
25 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 981 / WA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Registered in v-safe
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2021-03-06
Dose 1 — Moderna
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2021-03-06
Survey response — day 0, dose 1MedDRA: Rhinorrhoea — Feeling: Fair · Site: PainFree text: runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Sore throat runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
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2021-04-03
Dose 2 — Moderna
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2021-04-03
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Nasal congestion — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mild cough, stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Headache, Fatigue or tirednessFree text: Mild cough/head cold type symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Headache, DiarrheaFree text: Lump in neck lymph nodes on shot sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching · HeadacheFree text: Lump on lymph node in neck on shot sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Heavy menstrual bleeding — Feeling: Fair · Headache, DiarrheaFree text: Heavy, clotty, early menstrual periodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding — Feeling: Fair · Headache, DiarrheaFree text: Very heavy period with clottingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — day 7, dose 2MedDRA: Deafness, Tinnitus — Feeling: Poor · Site: ItchingFree text: Hearing loss and ringing in left ear all dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-24
- 2021-05-01
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2021-05-10
Survey response — day 35, dose 2MedDRA: Dysmenorrhoea — Feeling: FairFree text: Very painful menstrual cramps. Unusual for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-07-03
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2022-04-03
Survey response — 12 months, dose 2MedDRA: Breast cyst, Hepatic enzyme increased — Feeling: GoodFree text: High liver enzymes on blood work. This is atypical for me. Also, breast cysts are new.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): runny nose
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat runny nose
Systemic reaction (other): Sore throat
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Mild cough, stuffy nose
Systemic reaction (other): Mild cough/head cold type symptoms
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Lump in neck lymph nodes on shot side
Systemic reaction (other): Lump on lymph node in neck on shot side
Systemic reaction (other): Heavy, clotty, early menstrual period
Systemic reaction (other): Very heavy period with clotting
Release 7 — day 7, dose 2
Systemic reaction (other): Hearing loss and ringing in left ear all day
Release 8 — day 35, dose 2
Symptoms: Very painful menstrual cramps. Unusual for me.
Release 11 — 12 months, dose 2
Symptoms: High liver enzymes on blood work. This is atypical for me. Also, breast cysts are new.
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 | Breast cyst | · | · | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Hepatic enzyme increased | · | · | ✓ |
| SRO | Abnormal menstrual clots | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Deafness | ✓ | ✓ | ✓ |
| SRO | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release