6M5-16313-97707
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 982 / WA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-30
Registered in v-safe
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2021-03-30
Dose 1 — Moderna
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2021-03-30
Survey response — day 0, dose 1MedDRA: Muscle spasms, Muscle twitching — Feeling: GoodFree text: Spasms/constant twitching in calf muscleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to workAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-06
Health check-in — day 7, dose 1Feeling: Good · Site: Itching · Joint pains, Muscle or body achesAdult check-in
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2021-04-13
Survey response — day 14, dose 1MedDRA: Vaccination site rash, Vaccination site swelling — Feeling: FairFree text: I had swelling and a rash at the vaccination site exactly 7 days after the vaccination. Its gone now but was really bothersome.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 21, dose 1MedDRA: Constipation, Diarrhoea, Flatulence, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Diarrhea and constipation and severe gas pain with nausea. Its lasted three days now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Dose 2 — Moderna
- 2021-04-27
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2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-04
Health check-in — day 7, dose 2Feeling: Poor · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-11
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2021-05-18
Survey response — day 21, dose 2MedDRA: Diarrhoea, Fatigue, Myalgia, Nausea, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea and nausea and severe fatigue. Also muscle pain in throat (maybe my lymph nodes?)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
- 2021-06-01
- 2021-06-08
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2021-07-28
Survey response — 3 months, dose 2MedDRA: Depression — Feeling: Poor · Be unable to do your normal daily activitiesFree text: It feels like my depression has become more severe despite my medication and therapy.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-26
Survey response — 6 months, dose 2MedDRA: Heavy menstrual bleeding, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Although I'm on continuous birth control I'm having my period almost nonstop. · Healthcare visit (other): Bloodwork and pelvic ultrasoundMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Spasms/constant twitching in calf muscle
Release 7 — day 14, dose 1
Symptoms: I had swelling and a rash at the vaccination site exactly 7 days after the vaccination. Its gone now but was really bothersome.
Release 7 — day 21, dose 1
Symptoms: Diarrhea and constipation and severe gas pain with nausea. Its lasted three days now.
Release 8 — day 21, dose 2
Symptoms: Diarrhea and nausea and severe fatigue. Also muscle pain in throat (maybe my lymph nodes?)
Release 9 — 3 months, dose 2
Symptoms: It feels like my depression has become more severe despite my medication and therapy.
Release 10 — 6 months, dose 2
Symptoms: Although I'm on continuous birth control I'm having my period almost nonstop.
Healthcare visit (other): Bloodwork and pelvic ultrasound
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Depression | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Vaccination site rash | ✓ | ✓ | ✓ |
| SD | Vaccination site swelling | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release