5UJ-24152-61171
4 vaccinations
8 coded responses
29 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 906 / CA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Moderna
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 2 — Moderna
-
2021-04-23
Survey response — day 0, dose 2MedDRA: Parosmia — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: Burning smellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-07-23
- 2021-10-22
-
2021-11-29
Dose 3 — Moderna
-
2022-04-23
Survey response — 12 months, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Dose 4 — Moderna
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2022-10-11
Survey response — day 0, dose 4MedDRA: Paraesthesia — Feeling: GoodFree text: Tingling on injection armMedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Flushing, Headache, Muscle strain, Oropharyngeal pain, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Chills, Fatigue or tirednessFree text: Face felt flushed but wasn't red, a few brief twinges: top of head on right, right calf/ankle, throat on right, felt like I-d pulled a muscleMedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
-
2022-10-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2022-10-16
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain, Injection site swelling, Injection site warmth, Pre-existing disease — Feeling: GoodFree text: Previously, my injection site was warm, painful and swollen. The area thay was affected was about 6 inches long and included the scar from my baby vaccinations in 1973MedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
- 2022-10-20
- 2022-10-25
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2022-11-01
Survey response — day 21, dose 4MedDRA: Hot flush, Temperature regulation disorder — Feeling: GoodFree text: Seem to be getting hot flashes? My temperature regulation seems to be off.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
-
2022-11-22
Survey response — day 42, dose 4MedDRA: COVID-19, Chills, Cough, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Covid. Sore throat, headache, chills, congestions, cough, exhaustionMedDRA releases: 2024-11 · check-in free text available
- 2023-01-10
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-10-11 | Moderna | No |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Burning smell
Release 11 — 12 months, dose 2
Symptoms: Runny nose
Release 12 — day 0, dose 4
Systemic reaction (other): Tingling on injection arm
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Face felt flushed but wasn't red, a few brief twinges: top of head on right, right calf/ankle, throat on right, felt like I-d pulled a muscle
Systemic reaction (other): Previously, my injection site was warm, painful and swollen. The area thay was affected was about 6 inches long and included the scar from my baby vaccinations in 1973
Release 12 — day 21, dose 4
Symptoms: Seem to be getting hot flashes? My temperature regulation seems to be off.
Release 12 — day 42, dose 4
Symptoms: Covid. Sore throat, headache, chills, congestions, cough, exhaustion
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hot flush | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Temperature regulation disorder | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Muscle strain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release