5CA-10124-16903
2 vaccinations
9 coded responses
16 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 925 / CA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-01
Dose 1 — Moderna
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2021-03-05
Registered in v-safe
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2021-03-05
Dose 2 — Moderna
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2021-03-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Pain in the armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Intense pain in lymph node/armpit area on injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Pruritus, Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Swollen lymph nodes in armpit and neck above collarbone area. High pitched ringing in left ear. Face feels slightly tingly and itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Pruritus — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Itching on scalp, face, and arms. Dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-19
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2021-03-26
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to workFree text: Periodic periods of extreme fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
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2021-04-09
Survey response — day 35, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Periodic extreme and sudden fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 42, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Severe pain in hips and legs, especially at nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
- 2021-09-05
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2022-03-05
Survey response — 12 months, dose 2MedDRA: Fatigue, Increased upper airway secretion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Unusual fatigue and throat mucusMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog
Systemic reaction (other): Pain in the armpit
Systemic reaction (other): Intense pain in lymph node/armpit area on injection arm
Systemic reaction (other): Swollen lymph nodes in armpit and neck above collarbone area. High pitched ringing in left ear. Face feels slightly tingly and itchy.
Systemic reaction (other): Itching on scalp, face, and arms. Dizziness.
Release 6 — day 21, dose 2
Symptoms: Periodic periods of extreme fatigue
Release 7 — day 35, dose 2
Symptoms: Periodic extreme and sudden fatigue
Release 7 — day 42, dose 2
Symptoms: Severe pain in hips and legs, especially at night
Release 11 — 12 months, dose 2
Symptoms: Unusual fatigue and throat mucus
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release