4V5-16631-32905
3 vaccinations
9 coded responses
39 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 334 / FL
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Registered in v-safe
-
2021-04-08
Dose 1 — Moderna
- 2021-04-08
- 2021-04-09
- 2021-04-10
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: GoodFree text: Lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: GoodFree text: Lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: GoodFree text: Lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
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2021-05-06
Dose 2 — Moderna
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2021-05-06
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Nasopharyngitis, Rhinorrhoea, Sinus congestion — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: Severe sinus congestion and runny nose. I experienced this after my first dose of the vaccine but was not sure if it was associated with it and was perhaps allergies. But I am now experiences the same symptoms again and it started 6hrs after shot just like the first time. Chills happened 10hrs after shot, was not shaking but very cold. Started at 11pm, when I woke up they were gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Depression — Feeling: Fair · Headache · Be unable to work, Be unable to do your normal daily activitiesFree text: Anxiousness and depressionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety — Feeling: GoodFree text: AnxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Depression — Feeling: GoodFree text: Anxiety and depressionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-05
- 2021-06-10
- 2021-06-17
- 2021-08-05
- 2021-11-04
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2021-11-06
Dose 3 — Moderna
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain, Immediate post-injection reaction — Feeling: Poor · Site: Pain · Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I experience abdominal cramping 15 mins after the shot. I wasn't sure if it was related as it did not last an hour. It was at it's worse for only a few mins then slowly pandered off.MedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Unevaluable event — Feeling: Good · Site: Pain · Headache, Muscle or body aches · Be unable to work or attend schoolFree text: Mainly around my rib cage, but as the day has gone on it has been less and less. Headache is also very mild and just developed a bit later in the day but nothing on a normal day I would take medicine for.MedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-13
- 2021-12-18
- 2022-02-05
- 2022-05-07
- 2022-11-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-06 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Lack of appetite
Systemic reaction (other): Lack of appetite
Systemic reaction (other): Lack of appetite
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Severe sinus congestion and runny nose. I experienced this after my first dose of the vaccine but was not sure if it was associated with it and was perhaps allergies. But I am now experiences the same symptoms again and it started 6hrs after shot just like the first time. Chills happened 10hrs after shot, was not shaking but very cold. Started at 11pm, when I woke up they were gone.
Systemic reaction (other): Anxiousness and depression
Systemic reaction (other): Anxiety
Systemic reaction (other): Anxiety and depression
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I experience abdominal cramping 15 mins after the shot. I wasn't sure if it was related as it did not last an hour. It was at it's worse for only a few mins then slowly pandered off.
Systemic reaction (other): Mainly around my rib cage, but as the day has gone on it has been less and less. Headache is also very mild and just developed a bit later in the day but nothing on a normal day I would take medicine for.
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 |
|---|---|---|---|---|
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Depression | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release