3MU-18060-01219
4 vaccinations
6 coded responses
37 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 606 / IL
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
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2021-01-08
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fever · Chills, Muscle or body achesAdult check-in
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Injection site paraesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Paresthesias over injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Injection site paraesthesia, Rash — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: I got a rash on my back that started low and then spread up to my thoracic spine. It burned then went away by the time I woke up. I no longer have paresthesias over the injection site either.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
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2021-02-05
Dose 2 — Moderna
- 2021-02-05
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Blindness, Deafness, Syncope, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Briefly lost hearing and vision last night, ringing in ears, and fainted twiceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-08
- 2021-02-10
- 2021-02-12
- 2021-02-19
- 2021-02-27
- 2021-03-05
- 2021-03-12
- 2021-03-19
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2021-05-07
Survey response — 3 months, dose 2MedDRA: Heavy menstrual bleeding — Feeling: Good · Be unable to do your normal daily activitiesFree text: Excessive menstrual bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-08
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2021-10-23
Dose 3 — Moderna
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2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Muscle spasticity, Syncope, Tinnitus, Vaccine positive rechallenge — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fainting, tinnitus (happened after second dose too), spasticity in lower extremities starting 12 hours after vaccine and lasting for several hours.MedDRA releases: 2024-11 · check-in free text available
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2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-01
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
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2022-04-25
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had COVID twice (February and April 2022)MedDRA releases: 2024-11 · check-in free text available
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2022-07-30
Dose 4 — Moderna
- 2022-09-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-07-30 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Paresthesias over injection site
Systemic reaction (other): I got a rash on my back that started low and then spread up to my thoracic spine. It burned then went away by the time I woke up. I no longer have paresthesias over the injection site either.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Briefly lost hearing and vision last night, ringing in ears, and fainted twice
Release 8 — 3 months, dose 2
Symptoms: Excessive menstrual bleeding
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fainting, tinnitus (happened after second dose too), spasticity in lower extremities starting 12 hours after vaccine and lasting for several hours.
Release 11 — 6 months, dose 3
Symptoms: I had COVID twice (February and April 2022)
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 | COVID-19 | · | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Blindness | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Deafness | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Muscle spasticity | · | · | ✓ |
| SRO | Paraesthesia | ○ | ○ | ○ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ○ | ○ | ○ |
| SRO | Syncope | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release