5LC-89636-34173
2 vaccinations
8 coded responses
11 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 222 / VA
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-02
Registered in v-safe
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2021-03-02
Dose 1 — Moderna
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2021-03-02
Survey response — day 0, dose 1MedDRA: Hypersensitivity, Rhinorrhoea — Feeling: FairFree text: More of a runny nose than this morning. No idea if this is vax or allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: More easily winded than usual, had to cut down on activities.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Contusion, Decreased appetite, Respiratory disorder — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Brusing around one eye, continued diminished respiratory capability, odd complete loss of appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Eye disorder — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still having eye problems, possibly ingrown lashes or another irritant as a reaction to vaccineMedDRA 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 1MedDRA: Eye disorder — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Eye situation may be improvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
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2021-03-17
Survey response — day 14, dose 1MedDRA: Pruritus — Feeling: FairFree text: General itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — day 21, dose 1MedDRA: Condition aggravated, Polymyositis, Pre-existing disease — Feeling: FairFree text: Probably starting a polymiositis flare but not as bad as last fall.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Dose 2 — Moderna
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2021-04-09
Survey response — day 7, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Im having a Polymiositis flare. Am I crazy or is it a little better this week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): More of a runny nose than this morning. No idea if this is vax or allergies
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): More easily winded than usual, had to cut down on activities.
Systemic reaction (other): Brusing around one eye, continued diminished respiratory capability, odd complete loss of appetite.
Systemic reaction (other): Still having eye problems, possibly ingrown lashes or another irritant as a reaction to vaccine
Systemic reaction (other): Eye situation may be improving
Release 5 — day 14, dose 1
Symptoms: General itching
Release 6 — day 21, dose 1
Symptoms: Probably starting a polymiositis flare but not as bad as last fall.
Release 7 — day 7, dose 2
Systemic reaction (other): Im having a Polymiositis flare. Am I crazy or is it a little better this week.
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 | Condition aggravated | ✓ | · | ✓ |
| SD | Polymyositis | ✓ | ✓ | ○ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Eye disorder | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Respiratory disorder | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release