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
-
2021-05-13
Dose 1 — Moderna
-
2021-05-14
Registered in v-safe
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2021-05-14
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree text: Out of breathe when moving aroundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-05-17
Survey response — days 1–6 daily, dose 1MedDRA: Crying, Depressed mood, Feeling hot, Hyperhidrosis — Feeling: Good · Site: Pain, Redness, ItchingFree 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 mineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
-
2021-05-20
Survey response — day 7, dose 1MedDRA: Anxiety, Depressed mood — Feeling: GoodFree text: still feel anxious and depressedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-06-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-13 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Out of breathe when moving around
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Crying | · | · | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release