5AP-23553-05489
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 972 / OR
- Registered
- 2021-05-08
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-05-08
Registered in v-safe
-
2021-05-08
Dose 1 — Moderna
-
2021-05-08
Survey response — day 0, dose 1MedDRA: Pain in extremity, Paraesthesia — Feeling: GoodFree text: About two hours after my first shot, the arm i received my shot in keeps getting tingly then goes away and comes back. Ill continue to monitor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-09
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: Pain, SwellingFree text: The tingling i had in my injection arm the first day went away and hasnt returned, it only lasted about 3 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-05-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-05-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-22
- 2021-05-29
-
2021-06-05
Dose 2 — Moderna
-
2021-06-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, NauseaAdult check-in
-
2021-06-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-06-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-06-08
Survey response — days 1–6 daily, dose 2MedDRA: Flatulence, Musculoskeletal chest pain, Self-medication — Feeling: Fair · Site: Itching · Chills, Headache, Fatigue or tirednessFree text: I have noticed ive been having air bubbles that cause rib pain, took pepcid and it was fine after.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
-
2021-06-10
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Ive had no appitite since my shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-11
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: FairFree text: Lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-12
-
2021-06-19
Survey response — day 14, dose 2MedDRA: Abdominal pain, Back pain — Feeling: FairFree text: Lower back and abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-26
- 2021-07-03
- 2021-07-10
- 2021-07-17
- 2021-09-04
- 2021-12-04
- 2022-06-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-08 | Moderna | |
| 2 | 2021-06-05 | Moderna |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): About two hours after my first shot, the arm i received my shot in keeps getting tingly then goes away and comes back. Ill continue to monitor.
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): The tingling i had in my injection arm the first day went away and hasnt returned, it only lasted about 3 hours.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I have noticed ive been having air bubbles that cause rib pain, took pepcid and it was fine after.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Ive had no appitite since my shot.
Systemic reaction (other): Lack of appetite
Release 9 — day 14, dose 2
Symptoms: Lower back and abdominal pain
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Flatulence | · | · | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release