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5XS-19306-09674

2 vaccinations 5 coded responses 8 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
956 / CA
Registered
2021-03-03
Relationship
Self
Race
Multiracial
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-05
    Dose 1 — Moderna
  2. 2021-03-03
    Registered in v-safe
  3. 2021-03-03
    Survey response — day 21, dose 1
    MedDRA: Body temperature decreased, Chills, Depressed mood, Dizziness, Fatigue, Feeling abnormal, Feeling drunk, Generalised oedema, Hyperhidrosis, Impaired reasoning, Insomnia, Menstruation irregular, Myalgia, Peripheral coldness, Vertigo — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Dizzy, arm of vaccine cold, swollen body, muscle aches, brain fog, fatigue, depressed (not normal for me), vertigo, feeling drunk, insomnia, menstrual period came early, chills, lowered body temp for a week, sweating, impaired logic
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Dose 2 — Moderna
  5. 2021-03-05
    Survey response — day 0, dose 2
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Tingling down arm up neck, numb down arm up neck across forehead
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia, Lymphadenopathy, Pain in jaw — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Jaw pain,swollen lymph nodes, numb tingling up neck across forehead
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Increased viscosity of upper respiratory secretion, Pulmonary pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Feel like concussion, head pounding pain, thick mucus, lung pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pharyngeal swelling, Rhinorrhoea, Sinus congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Runny nose, sinus congestion, throat swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Adult check-in
  10. 2021-03-12
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  11. 2021-03-21
    Health check-in — day 14, dose 2
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-05Moderna

Free text

Release 5 — day 21, dose 1

2021-03-03

Symptoms: Dizzy, arm of vaccine cold, swollen body, muscle aches, brain fog, fatigue, depressed (not normal for me), vertigo, feeling drunk, insomnia, menstrual period came early, chills, lowered body temp for a week, sweating, impaired logic

Release 5 — day 0, dose 2

2021-03-05

Systemic reaction (other): Tingling down arm up neck, numb down arm up neck across forehead

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Jaw pain,swollen lymph nodes, numb tingling up neck across forehead

2021-03-07

Systemic reaction (other): Feel like concussion, head pounding pain, thick mucus, lung pain

2021-03-08

Systemic reaction (other): Runny nose, sinus congestion, throat swollen

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

FieldPreferred term2021-092023-042024-11
SDBody temperature decreased ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDDepressed mood ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDFeeling drunk ✓ ✓ ✓
SDGeneralised oedema ✓ ✓ ✓
SDHyperhidrosis ✓ ✓ ✓
SDImpaired reasoning ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDMenstruation irregular ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPeripheral coldness ✓ ✓ ✓
SDVertigo ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROIncreased viscosity of upper respiratory secretion ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPharyngeal swelling ✓ ✓ ✓
SROPulmonary pain ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSinus congestion ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release