5JR-81048-85005
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 946 / CA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
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2021-01-21
Survey response — day 0, dose 1MedDRA: Discomfort, Fatigue, Paraesthesia — Feeling: GoodFree text: Mild: Felt tingly down my back about 5mins after vaccine, then fine after. Also, a heaviness but fine after. I may be hyper aware trying to feel it going thru my body. Overall, I feel fine after 10 mins of sitting and waiting after vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Just the site of injection, slight pain,sorenessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Injection site swelling — Feeling: Good · Site: PainFree text: Just slight pain and swelling on injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
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2021-02-25
Survey response — day 7, dose 2MedDRA: Body temperature increased, Chills, Pain, Peripheral coldness — Feeling: GoodFree text: When I got the 2nd vaccine 2/18/21 I felt fine. The following day 2/18/21 I felt cold hands/feet, chills, body aches, had 100.5 temp, symptoms-moderate, then the following day 2/20/21 I felt fine and all symptoms went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-13
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
- 2021-08-19
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2022-02-18
Survey response — 12 months, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Menstrual cycle seemed to have started again after boosterMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Mild: Felt tingly down my back about 5mins after vaccine, then fine after. Also, a heaviness but fine after. I may be hyper aware trying to feel it going thru my body. Overall, I feel fine after 10 mins of sitting and waiting after vaccine
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Just the site of injection, slight pain,soreness
Systemic reaction (other): Just slight pain and swelling on injection site
Release 4 — day 7, dose 2
Systemic reaction (other): When I got the 2nd vaccine 2/18/21 I felt fine. The following day 2/18/21 I felt cold hands/feet, chills, body aches, had 100.5 temp, symptoms-moderate, then the following day 2/20/21 I felt fine and all symptoms went away.
Release 11 — 12 months, dose 2
Symptoms: Menstrual cycle seemed to have started again after booster
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 | Unevaluable event | · | · | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release