64P-25798-64256
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 949 / CA
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Dose 1 — Moderna
-
2021-01-22
Dose 2 — Moderna
-
2021-01-23
Registered in v-safe
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2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Bone pain, Dysstasia, Hallucination, Headache, Insomnia, Pyrexia, Restlessness, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Insomnia for last two nights. 1st night hallucinating and restless mind -- pain like metal shards bouncing in head. Deep bone pain. Hardly able to stand. 2nd night fever kept me up. Not very responsive to nsaids/tylenol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-14
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2021-02-20
Survey response — day 28, dose 2MedDRA: Crying, Dysmenorrhoea — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: It seems completely unrelated, but I had debilitating menstrual cramps (that stopped me in my tracks, had me cry out in pain). I had never experienced these before. Just thought I'd mention.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-04-25
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2021-07-25
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Bad cold symptoms and sore throat I was worried was Covid but I tested negative for Covid-19.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-22 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia for last two nights. 1st night hallucinating and restless mind -- pain like metal shards bouncing in head. Deep bone pain. Hardly able to stand. 2nd night fever kept me up. Not very responsive to nsaids/tylenol.
Release 4 — day 28, dose 2
Symptoms: It seems completely unrelated, but I had debilitating menstrual cramps (that stopped me in my tracks, had me cry out in pain). I had never experienced these before. Just thought I'd mention.
Release 9 — 6 months, dose 2
Symptoms: Bad cold symptoms and sore throat I was worried was Covid but I tested negative for Covid-19.
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 | Crying | · | · | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SRO | Bone pain | ✓ | · | ✓ |
| SRO | Dysstasia | ✓ | · | ✓ |
| SRO | Hallucination | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | · | ✓ |
| SRO | Restlessness | ✓ | · | ✓ |
| SRO | Self-medication | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release