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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

  1. 2021-03-09
    Registered in v-safe
  2. 2021-03-09
    Dose 1 — Moderna
  3. 2021-03-09
    Survey response — day 0, dose 1
    MedDRA: Dysgeusia, Nausea — Feeling: Good · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free 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
  4. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Formication — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free 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
  5. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Formication — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free 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
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  7. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Acne, Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free 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
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-03-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-06
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-07
    Dose 2 — Moderna
  14. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Malaise — Feeling: Fair · Headache, Rash, not including the immediate area around the injection site
    Free text: I have been feeling blah
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-14
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-04-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-07Moderna

Free text

Release 5 — day 0, dose 1

2021-03-09

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

2021-03-10

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.

2021-03-11

Systemic reaction (other): No more of a previous symptom. The spider web crawling feeling on my nose and around my mouth has ceased.

2021-03-13

Systemic reaction (other): Kind of a bumpy skin rash, that look like tiny pimples...

Release 7 — days 1–6 daily, dose 2

2021-04-13

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

FieldPreferred term2021-092023-042024-11
SROAcne ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROFormication ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRORash ✓ ✓ ✓

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