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3YQ-13678-67372

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
021 / MA
Registered
2021-04-30
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-01
    Dose 1 — Moderna
  2. 2021-04-29
    Dose 2 — Moderna
  3. 2021-04-30
    Registered in v-safe
  4. 2021-04-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Dizziness, Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Resting heart rate kept shooting over 100 when my average is 74, feeling faint/weak
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gingival swelling, Hidradenitis, Pre-existing disease — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities
    Free text: Swollen gums and acne that I usually get when a hidradenitis supporitiva infection is present
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Mouth swelling, Premature menarche — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My mouth just feels swollen in general. Period started 2 weeks early. This vaccine really mustve messed with my hormones with all these symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-27
    Survey response — day 28, dose 2
    MedDRA: Feeling cold, Injection site pain — Feeling: Fair
    Free text: Pain randomly around vaccine site like I just got it when I was cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-29
    Survey response — 3 months, dose 2
    MedDRA: Increased upper airway secretion, Upper-airway cough syndrome — Feeling: Good
    Free text: Consistent post nasal drip with collection in my throat
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-10-31
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2022-05-01
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna
22021-04-29Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Resting heart rate kept shooting over 100 when my average is 74, feeling faint/weak

2021-05-03

Systemic reaction (other): Swollen gums and acne that I usually get when a hidradenitis supporitiva infection is present

2021-05-04

Systemic reaction (other): My mouth just feels swollen in general. Period started 2 weeks early. This vaccine really mustve messed with my hormones with all these symptoms.

Release 8 — day 28, dose 2

2021-05-27

Symptoms: Pain randomly around vaccine site like I just got it when I was cold

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: Consistent post nasal drip with collection in my throat

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
SDFeeling cold ✓ ✓ ✓
SDIncreased upper airway secretion ✓ · ✓
SDInjection site pain ✓ ✓ ✓
SDUpper-airway cough syndrome ✓ · ✓
SROAsthenia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROGingival swelling ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROHidradenitis ✓ ✓ ✓
SROMouth swelling ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPremature menarche ✓ ✓ ✓

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