5WD-16187-83283
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 068 / CT
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-12
Registered in v-safe
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2021-03-12
Dose 1 — Moderna
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2021-03-12
Survey response — day 0, dose 1MedDRA: Anxiety — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: AnxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-04-09
Dose 2 — Moderna
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2021-04-09
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Breast feeding, Dysmenorrhoea, Epistaxis, Heavy menstrual bleeding, Injection site bruising, Menstruation irregular — Feeling: Good · Site: RednessFree text: Bloody nose today and I never get bloody noses, bruising at injection site. Im breastfeeding - and between doses I got my first period post partum (10 months) and it was heavy and painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Balance disorder, Dizziness — Feeling: Good · Site: RednessFree text: Feeling alittle dizzy / off balance / weakMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — day 7, dose 2MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at site but no painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — day 14, dose 2MedDRA: Pain in extremity, Pre-existing disease, Rash — Feeling: Good · Be unable to do your normal daily activitiesFree text: Rash on forearm, same side as the shot. Very itchy blisters. Shingles vs poison ivy (PI is not out yet and I have not been in woods). Also, I had my acl repaired 6 years ago- and I hurt it just walking. Its swollen and very soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — day 21, dose 2MedDRA: Heavy menstrual bleeding — Feeling: Good · Be unable to do your normal daily activitiesFree text: Heavy periodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-11
- 2021-10-10
- 2022-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Anxiety
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Bloody nose today and I never get bloody noses, bruising at injection site. Im breastfeeding - and between doses I got my first period post partum (10 months) and it was heavy and painful.
Systemic reaction (other): Feeling alittle dizzy / off balance / weak
Release 7 — day 7, dose 2
Systemic reaction (other): Bruising at site but no pain
Release 7 — day 14, dose 2
Symptoms: Rash on forearm, same side as the shot. Very itchy blisters. Shingles vs poison ivy (PI is not out yet and I have not been in woods). Also, I had my acl repaired 6 years ago- and I hurt it just walking. Its swollen and very sore
Release 8 — day 21, dose 2
Symptoms: Heavy period
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 | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release