42J-12875-92112
2 vaccinations
8 coded responses
23 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 857 / AZ
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-14
Registered in v-safe
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2021-02-14
Dose 1 — Moderna
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2021-02-14
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation — Feeling: Good · Site: Pain · DiarrheaFree text: (This applies to today and yesterday) I have a burning sensation on the left side of my face (like a line that runs from my lower cheek, through my eye, to the arch of my eyebrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-19
- 2021-02-20
- 2021-02-21
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2021-02-28
Survey response — day 14, dose 1MedDRA: Eye irritation, Glassy eyes — Feeling: GoodFree text: Im not sure if its allergies but I had glossy eyes and it felt like I had scratched one of them.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
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2021-03-14
Dose 2 — Moderna
- 2021-03-14
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tirednessFree text: HeartburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation — Feeling: Good · Site: PainFree text: My face feels like it has a burning line running vertically from my eyebrows through the bottom of my eye. I had this sensation with the last one as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — day 7, dose 2MedDRA: Myalgia — Feeling: GoodFree text: It just feels like my pectoral muscles are twisting/balling up on the side where I got the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — day 14, dose 2MedDRA: Asthma, Cough — Feeling: GoodFree text: I have a dry cough not sure if its my asthmaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-11
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2021-04-18
Survey response — day 35, dose 2MedDRA: Burning sensation — Feeling: GoodFree text: I had a burning sensation on my face in the same spot as previously reported (the left side from my eyebrow to my cheekbone). It seems to get worse when I am tired and or stressed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-06-15
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2021-09-12
Survey response — 6 months, dose 2MedDRA: Carbuncle — Feeling: GoodFree text: I have been getting carbuncles in my feminine area. I have a history of these but its been more often over the last few months.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Moderna | |
| 2 | 2021-03-14 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): (This applies to today and yesterday) I have a burning sensation on the left side of my face (like a line that runs from my lower cheek, through my eye, to the arch of my eyebrow.
Release 4 — day 14, dose 1
Symptoms: Im not sure if its allergies but I had glossy eyes and it felt like I had scratched one of them.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Heartburn
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): My face feels like it has a burning line running vertically from my eyebrows through the bottom of my eye. I had this sensation with the last one as well.
Release 6 — day 7, dose 2
Systemic reaction (other): It just feels like my pectoral muscles are twisting/balling up on the side where I got the shot.
Release 6 — day 14, dose 2
Symptoms: I have a dry cough not sure if its my asthma
Release 7 — day 35, dose 2
Symptoms: I had a burning sensation on my face in the same spot as previously reported (the left side from my eyebrow to my cheekbone). It seems to get worse when I am tired and or stressed.
Release 9 — 6 months, dose 2
Symptoms: I have been getting carbuncles in my feminine area. I have a history of these but its been more often over the last few months.
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 | Asthma | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Carbuncle | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Eye irritation | ✓ | ✓ | ✓ |
| SD | Glassy eyes | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release