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
-
2021-05-07
Registered in v-safe
-
2021-05-07
Dose 1 — Moderna
-
2021-05-07
Survey response — day 0, dose 1MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness, NauseaFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea, Sinus pain — Feeling: Poor · Site: Pain, Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sinus pain and runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-09
Survey response — days 1–6 daily, dose 1MedDRA: Paranasal sinus discomfort, Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tirednessFree text: Sinus discomfort/runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion — Feeling: Good · Site: Pain, ItchingFree text: Mild nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-14
-
2021-05-22
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site warmth — Feeling: Good · Be unable to do your normal daily activitiesFree 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
- 2021-05-30
- 2021-06-04
-
2021-06-11
Dose 2 — Moderna
- 2021-06-11
-
2021-06-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-06-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-06-16
- 2021-06-17
-
2021-06-25
Survey response — day 14, dose 2MedDRA: Dizziness, Vertigo — Feeling: GoodFree text: A lot of vertigo/dizziness. May be totally unrelated to vaccine but thought it was worth mentioningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-02
- 2021-07-09
- 2021-07-18
- 2021-07-23
- 2021-09-13
- 2021-12-12
- 2022-06-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-07 | Moderna | |
| 2 | 2021-06-11 | Moderna |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Brain fog
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Sinus pain and runny nose
Systemic reaction (other): Sinus discomfort/runny nose
Systemic reaction (other): Mild nasal congestion
Release 8 — day 14, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release