5QH-21003-82900
2 vaccinations
6 coded responses
14 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 208 / MD
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
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2021-01-20
Dose 1 — Moderna
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-23
- 2021-01-24
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Uterine contractions during pregnancy — Feeling: Fair · Headache, Fatigue or tirednessFree text: occasional contractionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Health check-in — day 7, dose 1Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-27
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-02-05
Survey response — day 14, dose 1MedDRA: Hypersensitivity, Injection site reaction — Feeling: GoodFree text: A hypersensitivity reaction on my arm near injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — day 21, dose 1MedDRA: Headache, Respiratory tract congestion — Feeling: GoodFree text: Very stuffed up and headaches for 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Dose 2 — Moderna
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2021-03-03
Survey response — day 14, dose 2MedDRA: Influenza like illness, Mass, Nausea, Pruritus, Swelling — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Flu-like symptoms, nausea, enlarged and itchy bump near injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-26
- 2021-03-31
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2021-08-23
Survey response — 6 months, dose 2MedDRA: Sinusitis — Feeling: GoodFree text: SinusitisMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-19
Survey response — 12 months, dose 2MedDRA: Dizziness, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches, dizzinessMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-27 | priority 2/3 |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): occasional contractions
Release 3 — day 14, dose 1
Symptoms: A hypersensitivity reaction on my arm near injection site
Release 4 — day 21, dose 1
Symptoms: Very stuffed up and headaches for 2 days
Release 5 — day 14, dose 2
Symptoms: Flu-like symptoms, nausea, enlarged and itchy bump near injection site
Release 9 — 6 months, dose 2
Symptoms: Sinusitis
Release 11 — 12 months, dose 2
Symptoms: Headaches, dizziness
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 | Dizziness | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Mass | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Uterine contractions during pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release