5SS-96639-99903
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 972 / OR
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-23
Dose 1 — Moderna
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2021-01-25
Registered in v-safe
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia, Sneezing — Feeling: Poor · Site: Pain · Chills, Fatigue or tirednessFree text: A lot of sneezing and I had to take an antihistamine. I also have a mild metallic taste in my mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Pain of skin — Feeling: GoodFree text: Tenderness/achy on the skin inside of the arm that received the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Pain of skin, Self-medication — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Skin achy and tender on my leg. Had similar pain in my arm yesterday and it loved to my leg. Took ibuprofen and resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
- 2021-02-13
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2021-02-20
Dose 2 — Moderna
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2021-02-20
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-21
- 2021-02-22
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Last night I got a rash/hives on my legs after they were exposed to cold the hot water. This doesnt usually happen. It resolved within 3 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-02-26
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2021-02-27
Survey response — day 7, dose 2MedDRA: Muscle spasms — Feeling: GoodFree text: Muscle spasms in my arm near my elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 14, dose 2MedDRA: Pain — Feeling: GoodFree text: Occasional aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-04
- 2021-05-22
- 2021-08-22
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2022-02-22
Survey response — 12 months, dose 2MedDRA: Menstruation irregular, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Interrupted menstrual cycle. This happed before as well on my other shits but I didn't report them.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-20 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): A lot of sneezing and I had to take an antihistamine. I also have a mild metallic taste in my mouth.
Systemic reaction (other): Tenderness/achy on the skin inside of the arm that received the injection
Systemic reaction (other): Skin achy and tender on my leg. Had similar pain in my arm yesterday and it loved to my leg. Took ibuprofen and resolved.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Last night I got a rash/hives on my legs after they were exposed to cold the hot water. This doesnt usually happen. It resolved within 3 hours.
Release 4 — day 7, dose 2
Systemic reaction (other): Muscle spasms in my arm near my elbow
Release 5 — day 14, dose 2
Symptoms: Occasional aches.
Release 11 — 12 months, dose 2
Symptoms: Interrupted menstrual cycle. This happed before as well on my other shits but I didn't report them.
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 | Menstruation irregular | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release