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5R5-30204-01631

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
960 / CA
Registered
2021-05-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-07
    Registered in v-safe
  2. 2021-05-07
    Dose 1 — Moderna
  3. 2021-05-07
    Survey response — day 0, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea
    Free text: Brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea, Sinus pain — Feeling: Poor · Site: Pain, Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sinus pain and runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paranasal sinus discomfort, Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness
    Free text: Sinus discomfort/runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasal congestion — Feeling: Good · Site: Pain, Itching
    Free text: Mild nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  8. 2021-05-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-22
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pain, Injection site warmth — Feeling: Good · Be unable to do your normal daily activities
    Free text: After digging in the garden, the redness, pain and heat around the injection site returned after it had been completely resolved for several days. It took two days for it to resolve and my muscle is still slightly sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-06-04
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-06-11
    Dose 2 — Moderna
  13. 2021-06-11
    Health check-in — day 0, dose 2
    Feeling: Fair · None
    Adult check-in
  14. 2021-06-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-06-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-06-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  17. 2021-06-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-06-25
    Survey response — day 14, dose 2
    MedDRA: Dizziness, Vertigo — Feeling: Good
    Free text: A lot of vertigo/dizziness. May be totally unrelated to vaccine but thought it was worth mentioning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-07-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-12-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-06-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-07Moderna
22021-06-11Moderna

Free text

Release 8 — day 0, dose 1

2021-05-07

Systemic reaction (other): Brain fog

Release 8 — days 1–6 daily, dose 1

2021-05-08

Systemic reaction (other): Sinus pain and runny nose

2021-05-09

Systemic reaction (other): Sinus discomfort/runny nose

2021-05-12

Systemic reaction (other): Mild nasal congestion

Release 8 — day 14, dose 1

2021-05-22

Symptoms: After digging in the garden, the redness, pain and heat around the injection site returned after it had been completely resolved for several days. It took two days for it to resolve and my muscle is still slightly sore.

Release 9 — day 14, dose 2

2021-06-25

Symptoms: A lot of vertigo/dizziness. May be totally unrelated to vaccine but thought it was worth mentioning

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

FieldPreferred term2021-092023-042024-11
SDDizziness ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDVertigo ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROParanasal sinus discomfort ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSinus pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release