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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

  1. 2021-01-23
    Dose 1 — Moderna
  2. 2021-01-25
    Registered in v-safe
  3. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia, Sneezing — Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness
    Free 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
  4. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity, Pain of skin — Feeling: Good
    Free text: Tenderness/achy on the skin inside of the arm that received the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity, Pain of skin, Self-medication — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free 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
  6. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-20
    Dose 2 — Moderna
  12. 2021-02-20
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection site
    Free 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
  16. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-27
    Survey response — day 7, dose 2
    MedDRA: Muscle spasms — Feeling: Good
    Free text: Muscle spasms in my arm near my elbow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-06
    Survey response — day 14, dose 2
    MedDRA: Pain — Feeling: Good
    Free text: Occasional aches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-02-22
    Survey response — 12 months, dose 2
    MedDRA: Menstruation irregular, Reaction to previous exposure to any vaccine — Feeling: Good
    Free 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

DoseDateManufacturerCo-administered
12021-01-23Moderna
22021-02-20Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): A lot of sneezing and I had to take an antihistamine. I also have a mild metallic taste in my mouth.

2021-01-26

Systemic reaction (other): Tenderness/achy on the skin inside of the arm that received the injection

2021-01-27

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

2021-02-23

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

2021-02-27

Systemic reaction (other): Muscle spasms in my arm near my elbow

Release 5 — day 14, dose 2

2021-03-06

Symptoms: Occasional aches.

Release 11 — 12 months, dose 2

2022-02-22

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

FieldPreferred term2021-092023-042024-11
SDMenstruation irregular · · ✓
SDPain ✓ ✓ ✓
SDReaction to previous exposure to any vaccine · · ✓
SRODysgeusia ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPain of skin ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSneezing ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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