5WD-24199-35221
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 895 / NV
- Registered
- 2021-01-11
- Relationship
- Self
Timeline
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2021-01-11
Registered in v-safe
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2021-01-11
Dose 1 — Moderna
- 2021-01-11
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus, Sneezing — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: I keep sneezing, and my eyes are terribly itchy. It is like I have very bad allergies, but it is winter and I'm inside. It started 5-6 hours after the shot. I get allergy shots so I do not have allergies except for mild spring and summer.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Hypersensitivity, Pre-existing disease, Self-medication — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: My allergy symptoms virtually disappeared last night around 10, I ended up taking 3 Zyrtec yesterday and I used my inhaler (which I haven't done in months). I definitely think I was having an allergic reaction, and given the timing I think it was caused by the vaccine. That being said, it is gone now and I'm just tired today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain — Feeling: Fair · Fever · Chills, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Technically these started last night and this morning just abdominal pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-15
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: GoodFree text: Stomach isnt quite right, but I wouldnt called it pain or nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-25
- 2021-02-01
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2021-02-08
Dose 2 — Moderna
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2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I keep sneezing, and my eyes are terribly itchy. It is like I have very bad allergies, but it is winter and I'm inside. It started 5-6 hours after the shot. I get allergy shots so I do not have allergies except for mild spring and summer.
Systemic reaction (other): My allergy symptoms virtually disappeared last night around 10, I ended up taking 3 Zyrtec yesterday and I used my inhaler (which I haven't done in months). I definitely think I was having an allergic reaction, and given the timing I think it was caused by the vaccine. That being said, it is gone now and I'm just tired today.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Technically these started last night and this morning just abdominal pain.
Systemic reaction (other): Stomach isnt quite right, but I wouldnt called it pain or nausea
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Multiple allergies | ○ | ○ | ○ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release