53T-94561-36979
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 891 / NV
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-24
Registered in v-safe
-
2021-04-24
Dose 1 — Moderna
- 2021-04-24
-
2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · HeadacheFree text: Soreness on injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Soreness at injection site only when touchedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-09
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2021-05-15
Survey response — day 21, dose 1MedDRA: Amenorrhoea, Headache, Nausea — Feeling: FairFree text: Headache, mild nausea, skipped menstrual cycle (Im regular- rare that I skipped & concerned.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-22
Dose 2 — Moderna
- 2021-05-22
-
2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-05-29
-
2021-06-05
Survey response — day 14, dose 2MedDRA: Headache — Feeling: FairFree text: Mild headache almost every dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-12
- 2021-06-19
- 2021-06-26
- 2021-07-03
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2021-08-21
Survey response — 3 months, dose 2MedDRA: Amenorrhoea, Headache, Swelling face — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 1. No menstrual cycle since I got 1st Moderna shot in April. I am regular. Highly concerning. Random headaches.2. Facial swelling 24 hrs. after a HYDRA FACIAL on 7/1/21 (Ive done many facials before, w/NO reaction before.) Swelled for 3-7 days.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-21
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-26
- 2021-08-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-24 | Moderna | |
| 2 | 2021-05-22 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness on injection site
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness at injection site only when touched
Release 8 — day 21, dose 1
Symptoms: Headache, mild nausea, skipped menstrual cycle (Im regular- rare that I skipped & concerned.)
Release 8 — day 14, dose 2
Symptoms: Mild headache almost every day
Release 9 — 3 months, dose 2
Symptoms: 1. No menstrual cycle since I got 1st Moderna shot in April. I am regular. Highly concerning. Random headaches.2. Facial swelling 24 hrs. after a HYDRA FACIAL on 7/1/21 (Ive done many facials before, w/NO reaction before.) Swelled for 3-7 days.
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 | Amenorrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Swelling face | ✓ | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release