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6P8-48785-35323

2 vaccinations 5 coded responses 14 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
654 / MO
Registered
2021-04-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-02
    Dose 1 — Moderna
  2. 2021-04-26
    Registered in v-safe
  3. 2021-04-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-30
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-05-05
    Dose 2 — Moderna
  6. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Dizziness, Pre-existing disease, Rash, Skin warm — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I have fibromyalgia and I have factor V leiden. I feel that the second shot gave me a fibromyalgia flare up. It also gave me extreme dizziness after the first half hour. The dizziness lasted 7 hours. The first shot did not cause any symptoms until day 6 when my arm broke out in a rash and was hot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  8. 2021-05-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Menstruation delayed — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: My period is late. I should have started the day I got the shot. But I have not started yet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Injection site rash, Menstruation delayed — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: I was 4 days late for my period but did start today. The rash showed up just like it did for the first shot. It is a large area below the shot area on my arm. Last time the rash showed up on day 6, this time day 5. Im unusually tired today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-05-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-16
    Survey response — day 42, dose 2
    MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good
    Free text: Twice already this week I have had itchiness and redness on both my arms on the injection sites. I thought that would be over. It has been over a month since my second dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-08-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-03
    Survey response — 6 months, dose 2
    MedDRA: Angina pectoris, Heavy menstrual bleeding, Injection site pain, Injection site pruritus, Palpitations — Feeling: Good
    Free text: Heart pain and palpitations. Itchiness and pain where I got the shots. Heavy periods.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-02Moderna
22021-05-05Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): I have fibromyalgia and I have factor V leiden. I feel that the second shot gave me a fibromyalgia flare up. It also gave me extreme dizziness after the first half hour. The dizziness lasted 7 hours. The first shot did not cause any symptoms until day 6 when my arm broke out in a rash and was hot.

2021-05-09

Systemic reaction (other): My period is late. I should have started the day I got the shot. But I have not started yet.

2021-05-10

Systemic reaction (other): I was 4 days late for my period but did start today. The rash showed up just like it did for the first shot. It is a large area below the shot area on my arm. Last time the rash showed up on day 6, this time day 5. Im unusually tired today.

Release 9 — day 42, dose 2

2021-06-16

Symptoms: Twice already this week I have had itchiness and redness on both my arms on the injection sites. I thought that would be over. It has been over a month since my second dose.

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: Heart pain and palpitations. Itchiness and pain where I got the shots. Heavy periods.

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
SDAngina pectoris · · ✓
SDHeavy menstrual bleeding · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain · · ✓
SDInjection site pruritus ✓ ✓ ✓
SDPalpitations · · ✓
SROCondition aggravated ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROMenstruation delayed ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSkin warm ✓ ✓ ✓

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