5XU-21030-80769
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 337 / FL
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
-
2021-03-08
Dose 1 — Moderna
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: GERDMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Sarcoidosis — Feeling: Good · Fatigue or tirednessFree text: I have sarcoidosis. I have chronic fatigue due to that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Sarcoidosis — Feeling: GoodFree text: I have sarcoidosis which causes chronic pain and fatigue. It doesnt seem like the vaccination has exacerbated my symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain, Pre-existing disease, Sarcoidosis — Feeling: GoodFree text: I have sarcoidosis which causes chronic pain and fatigue that I do not attribute to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — day 7, dose 1MedDRA: Diarrhoea, Fatigue, Pain, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: I have sarcoidosis which causes chronic pain and fatigue and I take Trulance to combat opioid induced constipation which can cause diarrhea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
-
2021-04-05
Dose 2 — Moderna
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2022-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): GERD
Systemic reaction (other): I have sarcoidosis. I have chronic fatigue due to that.
Systemic reaction (other): I have sarcoidosis which causes chronic pain and fatigue. It doesnt seem like the vaccination has exacerbated my symptoms.
Systemic reaction (other): I have sarcoidosis which causes chronic pain and fatigue that I do not attribute to the vaccine.
Release 5 — day 7, dose 1
Systemic reaction (other): I have sarcoidosis which causes chronic pain and fatigue and I take Trulance to combat opioid induced constipation which can cause diarrhea.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sarcoidosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release