5PM-13494-90450
2 vaccinations
10 coded responses
26 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 802 / CO
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-29
Registered in v-safe
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2021-03-29
Dose 1 — Moderna
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2021-03-29
Survey response — day 0, dose 1MedDRA: Musculoskeletal stiffness, Pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: Stiffness and aching on the entire right side of my body (same as the injection site), but not the left.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pruritus, Insomnia, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Not today, but in the middle of the night last night I woke up with intense arm pain that kept me from sleeping well. I also had some minor itching at the injection site last night before going to bed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-04-01
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Libido decreased — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Uncharacteristically low libidoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
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2021-04-19
Survey response — day 21, dose 1MedDRA: Condition aggravated, Injection site pain, Injection site reaction, Pre-existing disease — Feeling: GoodFree text: I experience occasional pain and stiffness in the arm where I had the injection. I have also experienced worse symptoms of a pre-existing health issue (proctitis). Frankly, I think both are coincidence and probably not be related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Dose 2 — Moderna
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2021-04-26
Survey response — day 0, dose 2MedDRA: Dyspepsia, Flatulence — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Indigestion/gasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Haematochezia, Mucous stools, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Dramatic worsening of pre-existing proctitis (passing blood, mucous)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workFree text: Worsened proctitis symptoms, as noted yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Proctitis — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaFree text: Continued worsened proctitis symptoms, as noted previously.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-01
- 2021-05-02
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2021-05-03
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-10
Survey response — day 14, dose 2MedDRA: Fatigue, Vocal cord paralysis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: According to my vocal coach, I am showing signs of some type of vocal fold injury or paralysis. This is concerning because Im a professional singer. I have also been experiencing more fatigue than is normal for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
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2021-07-26
Survey response — 3 months, dose 2MedDRA: Fatigue, Headache, Heavy menstrual bleeding, Menstruation irregular, Nausea, Premenstrual syndrome, Thirst — Feeling: Good · Be unable to do your normal daily activitiesFree text: Irregular menstrual cycles with unusual bleeding and intensified PMS symptoms (headache, thirst, fatigue, nausea).MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-25
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Stiffness and aching on the entire right side of my body (same as the injection site), but not the left.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Not today, but in the middle of the night last night I woke up with intense arm pain that kept me from sleeping well. I also had some minor itching at the injection site last night before going to bed.
Systemic reaction (other): Uncharacteristically low libido
Release 7 — day 21, dose 1
Symptoms: I experience occasional pain and stiffness in the arm where I had the injection. I have also experienced worse symptoms of a pre-existing health issue (proctitis). Frankly, I think both are coincidence and probably not be related to the vaccine.
Release 8 — day 0, dose 2
Systemic reaction (other): Indigestion/gas
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Dramatic worsening of pre-existing proctitis (passing blood, mucous)
Systemic reaction (other): Worsened proctitis symptoms, as noted yesterday.
Systemic reaction (other): Continued worsened proctitis symptoms, as noted previously.
Release 8 — day 14, dose 2
Symptoms: According to my vocal coach, I am showing signs of some type of vocal fold injury or paralysis. This is concerning because Im a professional singer. I have also been experiencing more fatigue than is normal for me.
Release 9 — 3 months, dose 2
Symptoms: Irregular menstrual cycles with unusual bleeding and intensified PMS symptoms (headache, thirst, fatigue, nausea).
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Premenstrual syndrome | ✓ | · | ✓ |
| SD | Thirst | ✓ | · | ✓ |
| SD | Vocal cord paralysis | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Haematochezia | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Libido decreased | ✓ | ✓ | ✓ |
| SRO | Mucous stools | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Proctitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release