5RH-20187-20407
2 vaccinations
8 coded responses
13 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 841 / UT
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-29
Dose 1 — Moderna
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2021-02-06
Registered in v-safe
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2021-02-06
Survey response — day 7, dose 1MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Copper taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 14, dose 1MedDRA: Diarrhoea, Myalgia, Pruritus, Rash — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Itching rash on arm in area of shot. Diarra and sore muscles.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
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2021-02-26
Dose 2 — Moderna
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2021-02-26
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitAdult check-in
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2021-02-28
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-06
Survey response — day 7, dose 2MedDRA: Menstrual disorder — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Started my period that I am on meds to prevent. I think the shot is reacting to it causing me to have a cycle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
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2021-03-19
Survey response — day 21, dose 2MedDRA: Joint lock, Joint swelling, Movement disorder, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Right arm that had second shot is sore and locking up when in use. Joints are swollen and difficult to move after normal daily use.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — day 28, dose 2MedDRA: Movement disorder — Feeling: FairFree text: Right arm locking up and difficult to straightenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — day 35, dose 2MedDRA: Dizziness, Skin burning sensation — Feeling: FairFree text: Skin burns quicker then beforeshot and getting light headed easier when in sun for just 30 min.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — day 42, dose 2MedDRA: Choking sensation, Dyspepsia, Dyspnoea, Sleep disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Waking up in the middle of the night. Struggling to breathe and choking on acid like fluid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-08
- 2021-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Copper taste in mouth
Release 4 — day 14, dose 1
Symptoms: Itching rash on arm in area of shot. Diarra and sore muscles.
Release 4 — day 0, dose 2
Systemic reaction (other): Dizzy
Release 5 — day 7, dose 2
Systemic reaction (other): Started my period that I am on meds to prevent. I think the shot is reacting to it causing me to have a cycle.
Release 6 — day 21, dose 2
Symptoms: Right arm that had second shot is sore and locking up when in use. Joints are swollen and difficult to move after normal daily use.
Release 6 — day 28, dose 2
Symptoms: Right arm locking up and difficult to straighten
Release 6 — day 35, dose 2
Symptoms: Skin burns quicker then beforeshot and getting light headed easier when in sun for just 30 min.
Release 7 — day 42, dose 2
Symptoms: Waking up in the middle of the night. Struggling to breathe and choking on acid like fluid.
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 | Choking sensation | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Joint lock | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Movement disorder | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Skin burning sensation | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release