5TJ-85046-80566
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 553 / MN
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
-
2021-04-05
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: GoodFree text: Large area on vaccinated arm below injection site is swollen and quite warm to touch. At times it itches. Appeared 7 days after vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Survey response — day 21, dose 1MedDRA: Rash — Feeling: GoodFree text: Rashes on various areas of my body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
-
2021-04-20
Dose 2 — Moderna
- 2021-04-26
- 2021-04-27
- 2021-05-04
-
2021-05-11
Survey response — day 21, dose 2MedDRA: Office visit, Pain in jaw, Toothache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extreme tooth and jaw pain. Sought emergency dental care. Dentist unable to find issue, pain gradually subsided over the course if one week. Have since talked to others who received the Moderna vaccine who experienced similar issues during the same tMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-07-20
-
2021-10-19
Survey response — 6 months, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Bouts of extreme fatigue lasting for more than a month.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Survey response — 12 months, dose 2MedDRA: Fatigue, Oropharyngeal pain, Rash, Sinus disorder — Feeling: GoodFree text: Sudden tiredness (intermittent), random sore throat (for a day), skin rashes, sinus conditions that come and go.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Free text
Release 6 — day 14, dose 1
Symptoms: Large area on vaccinated arm below injection site is swollen and quite warm to touch. At times it itches. Appeared 7 days after vaccination.
Release 7 — day 21, dose 1
Symptoms: Rashes on various areas of my body.
Release 8 — day 21, dose 2
Symptoms: Extreme tooth and jaw pain. Sought emergency dental care. Dentist unable to find issue, pain gradually subsided over the course if one week. Have since talked to others who received the Moderna vaccine who experienced similar issues during the same t cut off by CDC
Release 10 — 6 months, dose 2
Symptoms: Bouts of extreme fatigue lasting for more than a month.
Release 11 — 12 months, dose 2
Symptoms: Sudden tiredness (intermittent), random sore throat (for a day), skin rashes, sinus conditions that come and go.
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 | Fatigue | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release