5JG-31862-65715
4 vaccinations
10 coded responses
46 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 119 / NY
- Registered
- 2021-08-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-24
Dose 1 — Moderna
-
2021-08-25
Registered in v-safe
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2021-08-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-08-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-08-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-28
- 2021-08-29
- 2021-08-30
- 2021-08-31
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2021-09-07
Survey response — day 14, dose 1MedDRA: Oral mucosal blistering — Feeling: GoodFree text: Blisters in mouth but platelets came back normal.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-14
-
2021-09-21
Dose 2 — Moderna
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2021-09-22
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-09-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-09-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
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2021-09-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
- 2021-09-26
- 2021-09-27
- 2021-09-28
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2021-10-05
Survey response — day 14, dose 2MedDRA: Menstruation delayed — Feeling: GoodFree text: Menstrual cycle 3 days late. Never happens since I'm also on birth control. Please look into Women's Health with these vaccines. Thank you!MedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
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2021-10-21
Survey response — day 28, dose 2MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Caught a cold but it's not covid. I got tested and was negative.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-11-02
- 2021-12-21
- 2022-03-22
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2022-05-23
Dose 3 — Moderna
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2022-05-24
Survey response — days 1–6 daily, dose 3MedDRA: Night sweats — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Night sweatsMedDRA releases: 2024-11 · check-in free text available
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2022-05-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2022-05-27
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Good · Site: ItchingFree text: Higher heart rate than usualMedDRA releases: 2024-11 · check-in free text available
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2022-05-28
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: GoodFree text: Resting heart rate a tad higher than usual still.MedDRA releases: 2024-11 · check-in free text available
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2022-05-29
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: GoodFree text: Higher resting heart rateMedDRA releases: 2024-11 · check-in free text available
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2022-05-30
Survey response — day 7, dose 3MedDRA: Heart rate increased — Feeling: GoodFree text: Higher resting heart rate while sleeping.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-08
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-08-22
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2022-09-23
Dose 4 — Moderna
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2022-09-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-09-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-26
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
- 2022-10-16
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-24 | Moderna | No |
| 2 | 2021-09-21 | Moderna | No |
| 3 | 2022-05-23 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Free text
Release 9 — day 14, dose 1
Symptoms: Blisters in mouth but platelets came back normal.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 10 — day 14, dose 2
Symptoms: Menstrual cycle 3 days late. Never happens since I'm also on birth control. Please look into Women's Health with these vaccines. Thank you!
Release 10 — day 28, dose 2
Symptoms: Caught a cold but it's not covid. I got tested and was negative.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Night sweats
Systemic reaction (other): Higher heart rate than usual
Systemic reaction (other): Resting heart rate a tad higher than usual still.
Systemic reaction (other): Higher resting heart rate
Release 11 — day 7, dose 3
Systemic reaction (other): Higher resting heart rate while sleeping.
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 | Insomnia | · | · | ✓ |
| SD | Menstruation delayed | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oral mucosal blistering | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Night sweats | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release