5SM-25054-91835
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 833 / ID
- Registered
- 2021-09-29
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-08-29
Dose 1 — Moderna
-
2021-09-29
Registered in v-safe
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2021-09-29
Dose 2 — Moderna
- 2021-09-29
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2021-09-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Abdominal painAdult check-in
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2021-10-03
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Equalibrium is off.MedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-15
Survey response — day 14, dose 2MedDRA: Fatigue, Headache, Self-medication, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I am more tired then usual. I feel sleepy all of the time. I have had headaches that tylenol doesnt relieve. Its a nagging ache to a full blown headache.MedDRA releases: 2024-11 · check-in free text available
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2022-04-04
Survey response — 6 months, dose 2MedDRA: Fall, Hypoaesthesia, Paraesthesia, Secretion discharge, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Numbness and tiingleing in my arms ,hands and feet and leggs. Over production of mucus and sinus congestion. Since I got the second dose I have been sicker than I have been in my whole life. This immunization has ruined my life!!! I fall a lot!MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-29 | Moderna | No |
| 2 | 2021-09-29 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Equalibrium is off.
Release 10 — day 14, dose 2
Symptoms: I am more tired then usual. I feel sleepy all of the time. I have had headaches that tylenol doesnt relieve. Its a nagging ache to a full blown headache.
Release 11 — 6 months, dose 2
Symptoms: Numbness and tiingleing in my arms ,hands and feet and leggs. Over production of mucus and sinus congestion. Since I got the second dose I have been sicker than I have been in my whole life. This immunization has ruined my life!!! I fall a lot!
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 | Fall | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Balance disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release