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5J5-30408-99046

1 vaccination 3 coded responses 7 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
405 / KY
Registered
2021-05-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-13
    Dose 1 — Moderna
  2. 2021-05-14
    Registered in v-safe
  3. 2021-05-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Out of breathe when moving around
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  5. 2021-05-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Crying, Depressed mood, Feeling hot, Hyperhidrosis — Feeling: Good · Site: Pain, Redness, Itching
    Free text: Only think I have notice is I am extremely hot and sweat all the time!!!! Another symptom that I notice is I do notice that the last couple of days well Since Friday I have been extremely depressed and crying a lot, I didnt know if the vaccine has had any data on if it can affect moods at all but I definitely feel like it could have affected mine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  7. 2021-05-20
    Survey response — day 7, dose 1
    MedDRA: Anxiety, Depressed mood — Feeling: Good
    Free text: still feel anxious and depressed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-06-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-13Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-14

Systemic reaction (other): Out of breathe when moving around

2021-05-17

Systemic reaction (other): Only think I have notice is I am extremely hot and sweat all the time!!!! Another symptom that I notice is I do notice that the last couple of days well Since Friday I have been extremely depressed and crying a lot, I didnt know if the vaccine has had any data on if it can affect moods at all but I definitely feel like it could have affected mine

Release 8 — day 7, dose 1

2021-05-20

Systemic reaction (other): still feel anxious and depressed

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

FieldPreferred term2021-092023-042024-11
SROAnxiety ✓ ✓ ✓
SROCrying · · ✓
SRODepressed mood ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release