5T9-33645-98844
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 759 / TX
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-09
Registered in v-safe
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2021-03-09
Dose 1 — Moderna
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2021-03-09
Survey response — day 0, dose 1MedDRA: Dysgeusia, Nausea — Feeling: Good · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Right after the vaccine I felt a wave of nausea and a strange taste in my mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Formication — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Itchy crawling feeling of like spider webs on my nose and around my mouth, since the vaccination. Feels lind of like a spider web that i can't get off. This is my normal reaction to molds, except this hasn't gone away yet. Two days now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Formication — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: No more of a previous symptom. The spider web crawling feeling on my nose and around my mouth has ceased.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Acne, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Kind of a bumpy skin rash, that look like tiny pimples...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-16
- 2021-03-23
- 2021-04-01
- 2021-04-06
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2021-04-07
Dose 2 — Moderna
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Fair · Headache, Rash, not including the immediate area around the injection siteFree text: I have been feeling blahMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Health check-in — day 7, dose 2Feeling: Good · Headache, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Right after the vaccine I felt a wave of nausea and a strange taste in my mouth.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Itchy crawling feeling of like spider webs on my nose and around my mouth, since the vaccination. Feels lind of like a spider web that i can't get off. This is my normal reaction to molds, except this hasn't gone away yet. Two days now.
Systemic reaction (other): No more of a previous symptom. The spider web crawling feeling on my nose and around my mouth has ceased.
Systemic reaction (other): Kind of a bumpy skin rash, that look like tiny pimples...
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have been feeling blah
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 |
|---|---|---|---|---|
| SRO | Acne | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Formication | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release