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
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2021-04-02
Dose 1 — Moderna
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2021-04-26
Registered in v-safe
- 2021-04-26
- 2021-04-30
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2021-05-05
Dose 2 — Moderna
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2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Menstruation delayed — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree 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
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Injection site rash, Menstruation delayed — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree 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
- 2021-05-11
- 2021-05-21
- 2021-05-26
- 2021-06-04
- 2021-06-09
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2021-06-16
Survey response — day 42, dose 2MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree 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
- 2021-08-04
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2021-11-03
Survey response — 6 months, dose 2MedDRA: Angina pectoris, Heavy menstrual bleeding, Injection site pain, Injection site pruritus, Palpitations — Feeling: GoodFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-05-05 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 2
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.
Systemic reaction (other): My period is late. I should have started the day I got the shot. But I have not started yet.
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Angina pectoris | · | · | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Menstruation delayed | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release