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
-
2021-04-01
Dose 1 — Moderna
-
2021-04-29
Dose 2 — Moderna
-
2021-04-30
Registered in v-safe
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Resting heart rate kept shooting over 100 when my average is 74, feeling faint/weakMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Gingival swelling, Hidradenitis, Pre-existing disease — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Swollen gums and acne that I usually get when a hidradenitis supporitiva infection is presentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Mouth swelling, Premature menarche — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
- 2021-05-07
- 2021-05-15
- 2021-05-20
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2021-05-27
Survey response — day 28, dose 2MedDRA: Feeling cold, Injection site pain — Feeling: FairFree text: Pain randomly around vaccine site like I just got it when I was coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-03
- 2021-06-10
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2021-07-29
Survey response — 3 months, dose 2MedDRA: Increased upper airway secretion, Upper-airway cough syndrome — Feeling: GoodFree text: Consistent post nasal drip with collection in my throatMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-31
- 2022-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Resting heart rate kept shooting over 100 when my average is 74, feeling faint/weak
Systemic reaction (other): Swollen gums and acne that I usually get when a hidradenitis supporitiva infection is present
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
Symptoms: Pain randomly around vaccine site like I just got it when I was cold
Release 9 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Feeling cold | ✓ | ✓ | ✓ |
| SD | Increased upper airway secretion | ✓ | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | ✓ | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Gingival swelling | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hidradenitis | ✓ | ✓ | ✓ |
| SRO | Mouth swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Premature menarche | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release