5YJ-54935-00861
3 vaccinations
4 coded responses
9 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 974 / OR
- Registered
- 2021-05-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Moderna
-
2021-04-30
Dose 2 — Moderna
-
2021-05-17
Registered in v-safe
- 2021-05-17
-
2021-05-21
Survey response — day 21, dose 2MedDRA: Diarrhoea, Fatigue, Headache, Insomnia, Pain in extremity, Peripheral swelling, Vertigo — Feeling: GoodFree text: I only marked yes because I havent been able to put in any symptoms.After 1st shot-sore armAfter 2nd shot-sore & swollen arm, headache, 1 bout of diarrhea, 1 night of insomnia, vertigo for 16 days after 3rd day post shot aided by DiphenhydramineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-06-04
- 2021-06-11
-
2021-07-30
Survey response — 3 months, dose 2MedDRA: Bladder discomfort, Diarrhoea, Dyspepsia, Influenza like illness, SARS-CoV-2 test negative, Vomiting — Feeling: GoodFree text: Felt like flu or food poisoning for two hours with highly acidic vomit and diarrhea. Felt like it scalded my bladder and stomach for a week. No fever. Covid test negative.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-29
Survey response — 6 months, dose 2MedDRA: Head discomfort, Vertigo — Feeling: GoodFree text: Vertigo came back for a day. Back of my head feels weird sometimes like after the second vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-27
Dose 3 — Moderna
- 2022-06-27
-
2022-12-27
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: GoodFree text: I got Covid on November 26th.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna | |
| 3 | 2021-12-27 | Moderna | No |
Free text
Release 8 — day 21, dose 2
Symptoms: I only marked yes because I havent been able to put in any symptoms.After 1st shot-sore armAfter 2nd shot-sore & swollen arm, headache, 1 bout of diarrhea, 1 night of insomnia, vertigo for 16 days after 3rd day post shot aided by Diphenhydramine
Release 9 — 3 months, dose 2
Symptoms: Felt like flu or food poisoning for two hours with highly acidic vomit and diarrhea. Felt like it scalded my bladder and stomach for a week. No fever. Covid test negative.
Release 10 — 6 months, dose 2
Symptoms: Vertigo came back for a day. Back of my head feels weird sometimes like after the second vaccine.
Release 12 — 12 months, dose 3
Symptoms: I got Covid on November 26th.
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 | Bladder discomfort | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspepsia | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release