4C2-29029-69010
2 vaccinations
7 coded responses
14 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 640 / MO
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-03-14
Registered in v-safe
- 2021-03-14
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2021-03-19
Survey response — day 21, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Slight redness and sporadic itching around injection site. Far from alarming.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Dose 2 — Moderna
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2021-03-26
Survey response — day 0, dose 2MedDRA: Attention deficit hyperactivity disorder, Disturbance in attention — Feeling: Good · Fever · ChillsFree text: I question if I'm developing ADDMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Fair · Fever · Chills, HeadacheFree text: Temp 99.0°F by p.m. hrs. Headache reduced to mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Chromaturia — Feeling: Fair · Site: Pain, Redness · Fever · Chills, HeadacheFree text: VERY dark urine since Sat 3/26. Also today I actually feel >Fair & <Good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · ChillsAdult check-in
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2021-04-02
Survey response — day 7, dose 2MedDRA: Chromaturia — Feeling: Good · ChillsFree text: Urine lighter than past, yet still darker than "normal ".MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
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2021-04-16
Survey response — day 21, dose 2MedDRA: Feeling cold — Feeling: GoodFree text: Lingering chilliness - I had a hard time keeping warm. The weather was pleasant, warm, and I wore a jacket in house and parked under my space heater.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
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2021-04-30
Survey response — day 35, dose 2MedDRA: Fear, Palpitations — Feeling: Good · Be unable to do your normal daily activitiesFree text: STRONG erratic heart palpitations mid-week. Visible. Scary.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-06-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna |
Free text
Release 5 — day 21, dose 1
Symptoms: Slight redness and sporadic itching around injection site. Far from alarming.
Release 6 — day 0, dose 2
Systemic reaction (other): I question if I'm developing ADD
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Temp 99.0°F by p.m. hrs. Headache reduced to mild.
Systemic reaction (other): VERY dark urine since Sat 3/26. Also today I actually feel >Fair & <Good.
Release 6 — day 7, dose 2
Systemic reaction (other): Urine lighter than past, yet still darker than "normal ".
Release 7 — day 21, dose 2
Symptoms: Lingering chilliness - I had a hard time keeping warm. The weather was pleasant, warm, and I wore a jacket in house and parked under my space heater.
Release 8 — day 35, dose 2
Symptoms: STRONG erratic heart palpitations mid-week. Visible. Scary.
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 | Fear | ✓ | ✓ | ✓ |
| SD | Feeling cold | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SRO | Attention deficit hyperactivity disorder | ○ | ✓ | ○ |
| SRO | Chromaturia | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release