5U9-19254-38817
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 271 / NC
- Registered
- 2021-05-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-28
Dose 1 — Moderna
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2021-05-02
Registered in v-safe
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2021-05-02
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Injection site pain, Malaise, Peripheral swelling, Sleep disorder — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to do your normal daily activitiesFree text: Not for today - its been 5 days since vaccination. I was very sick for 1 1/2 days after vaccination. Then couldnt sleep from severe pain at injection site. Arm redness & swelling getting worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Pain in extremity, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Arm some better today but still hurts to touch it. Redness & swelling less. I wish I had checked Modernas side effects before taking it. Not sure about 2nd vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Headache, Abdominal pain · Be unable to do your normal daily activitiesFree text: I hope these symptoms arent vaccine. If so, will not get 2nd one!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Health check-in — day 7, dose 1Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-12
- 2021-05-21
- 2021-05-26
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2021-05-27
Dose 2 — Moderna
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2021-05-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Abdominal painAdult check-in
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2021-05-28
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Malaise — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feeling terrible.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-05-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-05-31
- 2021-06-01
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2021-06-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Muscle or body achesAdult check-in
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-07-01
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2021-07-08
Survey response — day 42, dose 2MedDRA: Dyspnoea — Feeling: FairFree text: A coupke of days of some trouble getting a deep breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-01
- 2021-11-25
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2022-05-29
Survey response — 12 months, dose 2MedDRA: Cough, Discomfort, Head discomfort, Oropharyngeal pain, Paranasal sinus discomfort — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus pressure - head, face, teeth. Cough, sore throat.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Moderna | |
| 2 | 2021-05-27 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Not for today - its been 5 days since vaccination. I was very sick for 1 1/2 days after vaccination. Then couldnt sleep from severe pain at injection site. Arm redness & swelling getting worse.
Systemic reaction (other): Arm some better today but still hurts to touch it. Redness & swelling less. I wish I had checked Modernas side effects before taking it. Not sure about 2nd vaccination.
Systemic reaction (other): I hope these symptoms arent vaccine. If so, will not get 2nd one!!
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling terrible.
Release 9 — day 42, dose 2
Symptoms: A coupke of days of some trouble getting a deep breath.
Release 11 — 12 months, dose 2
Symptoms: Sinus pressure - head, face, teeth. Cough, sore throat.
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 | Cough | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ○ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release