5VJ-54109-14126
2 vaccinations
7 coded responses
23 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 335 / FL
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
- 2021-01-19
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I did not get a text on my second day. I had lots of nausea that day. It started right after I replied on the first day and continued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Prader-Willi syndrome, Pre-existing disease — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Prone to headaches anyway. Started yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-02-01
- 2021-02-08
- 2021-02-17
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2021-02-19
Dose 2 — Moderna
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Redness · Headache, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Last night and through this morning when I woke up, I had such intense brain fog that my husband thought I had taken some sort of medication to alter my behavior.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Iridocyclitis, Iritis — Feeling: Fair · Site: Pain, Redness · Fatigue or tirednessFree text: Iritis / anterior uveitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Iritis — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: IritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Eyelid rash, Iritis — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Iritis and rash around eyeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Rash — Feeling: GoodFree text: Eye rash. Decreased appetite since vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-07
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-08-20
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I did not get a text on my second day. I had lots of nausea that day. It started right after I replied on the first day and continued.
Systemic reaction (other): Prone to headaches anyway. Started yesterday.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Last night and through this morning when I woke up, I had such intense brain fog that my husband thought I had taken some sort of medication to alter my behavior.
Systemic reaction (other): Iritis / anterior uveitis
Systemic reaction (other): Iritis
Systemic reaction (other): Iritis and rash around eye
Systemic reaction (other): Eye rash. Decreased appetite since vaccine
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 | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Eyelid rash | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Iridocyclitis | ✓ | ✓ | ✓ |
| SRO | Iritis | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Prader-Willi syndrome | ○ | ✓ | ○ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release