6RV-28561-93696
2 vaccinations
11 coded responses
18 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 967 / HI
- Registered
- 2021-06-30
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-06-30
Registered in v-safe
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2021-06-30
Dose 1 — Moderna
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2021-06-30
Survey response — day 0, dose 1MedDRA: Dysgeusia, Erythema, Feeling hot — Feeling: GoodFree text: For me...It felt similar... to having contrasting done when getting a scan done such as xrays or scans. I felt warm, and looked a bit redish.. I also had a medicine taste in my mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Survey response — days 1–6 daily, dose 1MedDRA: Product after taste — Feeling: Good · Site: ItchingFree text: Having medicine taste in my mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-03
Survey response — days 1–6 daily, dose 1MedDRA: Taste disorder — Feeling: GoodFree text: Mouth taste like medicine, urine sells like medicineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-04
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia, Parosmia, Taste disorder, Urine odour abnormal — Feeling: GoodFree text: A little bit of medicine taste in mouth still...and urine smells like medicine..mostly...i am wonderful...Thank you CDC for checking on me....lot of loves from the BIG Island.......MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-05
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: GoodFree text: Mouth taste like medicine...urine a little better...medicine smell subsiding.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-06
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia, Parosmia — Feeling: GoodFree text: Medicine taste in my mouth subsiding, my urine still smells like medicine.thank you for checking on me...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-07
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: All Seems to be doing better...thank you CDC...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-14
- 2021-07-24
- 2021-07-28
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2021-07-29
Dose 2 — Moderna
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2021-08-02
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Product after taste, Urine odour abnormal — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, NauseaFree text: Ear aching, mouth taste medicine, urine smells medicine.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-04
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness, NauseaFree text: Mild earachesMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-06
- 2021-09-05
- 2021-09-09
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2021-10-30
Survey response — 3 months, dose 2MedDRA: Headache, Nausea — Feeling: FairFree text: I feel nauseous and my head feels achey...MedDRA releases: 2024-11 · check-in free text available
- 2022-01-27
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2022-07-31
Survey response — 12 months, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Tired...MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-30 | Moderna | No |
| 2 | 2021-07-29 | Moderna | No |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): For me...It felt similar... to having contrasting done when getting a scan done such as xrays or scans. I felt warm, and looked a bit redish.. I also had a medicine taste in my mouth.
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Having medicine taste in my mouth
Systemic reaction (other): Mouth taste like medicine, urine sells like medicine
Systemic reaction (other): A little bit of medicine taste in mouth still...and urine smells like medicine..mostly...i am wonderful...Thank you CDC for checking on me....lot of loves from the BIG Island.......
Systemic reaction (other): Mouth taste like medicine...urine a little better...medicine smell subsiding.
Systemic reaction (other): Medicine taste in my mouth subsiding, my urine still smells like medicine.thank you for checking on me...
Release 9 — day 7, dose 1
Systemic reaction (other): All Seems to be doing better...thank you CDC...
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Ear aching, mouth taste medicine, urine smells medicine.
Systemic reaction (other): Mild earaches
Release 10 — 3 months, dose 2
Symptoms: I feel nauseous and my head feels achey...
Release 12 — 12 months, dose 2
Symptoms: Tired...
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 | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
| SRO | Product after taste | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Urine odour abnormal | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release