5NT-25537-31313
3 vaccinations
5 coded responses
35 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 334 / FL
- Registered
- 2021-05-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-15
Dose 1 — Moderna
-
2021-05-16
Registered in v-safe
-
2021-05-16
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal dreams, Ageusia, Anosmia — Feeling: Good · Site: PainFree text: When I had a mild case of covid for 5 weeks in November and December 2020 I dreamt a lot. I also dreamt a lot the day I got the shot. Also lost my smell and taste 2nd day of covid. After the shot, I can smell briefly and taste my food. But lost it again 2nd day after receiving shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-22
- 2021-05-29
-
2021-06-05
Survey response — day 21, dose 1MedDRA: Immediate post-injection reaction, Therapeutic response unexpected — Feeling: GoodFree text: Keep forgetting... on Nov 10,2020 , 2nd day of having covid, I lost my smell and taste. I had covid until Dec 17,2020. Still no smell or taste until I received my 1st dose of the vaccine on May 15.Immediately I started to get my smell and taste back!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-12
Dose 2 — Moderna
-
2021-06-12
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Just got the 2nd dose at 1:30 today. Its 3:07 nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-06-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend schoolAdult check-in
- 2021-06-15
- 2021-06-16
- 2021-06-17
- 2021-06-18
- 2021-06-19
- 2021-06-26
- 2021-07-03
-
2021-07-11
Survey response — day 28, dose 2MedDRA: Nausea, Pelvic pain — Feeling: Fair · Be unable to work or attend schoolFree text: A couple of days ago horrible pelvic pain and nausea. Still nauseous, no pelvic pain. Dont think that would be related to the shot I dont know. I was thinking possible kidney stone but dont know. Missed one day of work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-17
- 2021-07-24
- 2021-09-11
-
2021-12-11
Dose 3 — Moderna
- 2021-12-11
-
2021-12-12
Survey response — days 1–6 daily, dose 3MedDRA: Nausea — Feeling: Good · Site: Pain · NauseaFree text: Was real nauseous yesterday. Just a little off and on todayMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2021-12-14
- 2021-12-16
- 2021-12-17
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-15 | Moderna | |
| 2 | 2021-06-12 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): When I had a mild case of covid for 5 weeks in November and December 2020 I dreamt a lot. I also dreamt a lot the day I got the shot. Also lost my smell and taste 2nd day of covid. After the shot, I can smell briefly and taste my food. But lost it again 2nd day after receiving shot
Release 8 — day 21, dose 1
Symptoms: Keep forgetting... on Nov 10,2020 , 2nd day of having covid, I lost my smell and taste. I had covid until Dec 17,2020. Still no smell or taste until I received my 1st dose of the vaccine on May 15.Immediately I started to get my smell and taste back! cut off by CDC
Release 9 — day 0, dose 2
Systemic reaction (other): Just got the 2nd dose at 1:30 today. Its 3:07 now
Release 9 — day 28, dose 2
Symptoms: A couple of days ago horrible pelvic pain and nausea. Still nauseous, no pelvic pain. Dont think that would be related to the shot I dont know. I was thinking possible kidney stone but dont know. Missed one day of work.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Was real nauseous yesterday. Just a little off and on today
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 | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pelvic pain | ✓ | ✓ | ✓ |
| SD | Therapeutic response unexpected | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Anosmia | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release