6XP-52589-29292
2 vaccinations
7 coded responses
21 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 921 / CA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-06
Dose 1 — Moderna
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2021-03-08
Registered in v-safe
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenitis — Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection siteFree text: Lymph nodes inflamatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Hypersensitivity, Rhinorrhoea — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Allergies, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-20
- 2021-03-27
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2021-04-03
Dose 2 — Moderna
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2021-04-03
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessFree text: dissinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-10
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-17
Survey response — day 14, dose 2MedDRA: Hyperaesthesia teeth — Feeling: GoodFree text: Very sensitive teeth, I dont know if it is realated but it has never been like thisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
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2021-07-04
Survey response — 3 months, dose 2MedDRA: Adverse reaction, Histamine abnormal, Pain of skin, Rash, Temperature intolerance, Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Rashes, like hives, histamine, very intense and non stop for five weeks. Like allergies around all my body. It was worsening with light pressure and heat. It is getting slowly less severe, but I never had anything like that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-02
Survey response — 6 months, dose 2MedDRA: Menstruation irregular — Feeling: GoodFree text: My period stopped for four months, now it is backMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Lymph nodes inflamated
Systemic reaction (other): Runny nose
Systemic reaction (other): Allergies, runny nose
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): dissiness
Release 7 — day 14, dose 2
Symptoms: Very sensitive teeth, I dont know if it is realated but it has never been like this
Release 9 — 3 months, dose 2
Symptoms: Rashes, like hives, histamine, very intense and non stop for five weeks. Like allergies around all my body. It was worsening with light pressure and heat. It is getting slowly less severe, but I never had anything like that.
Release 9 — 6 months, dose 2
Symptoms: My period stopped for four months, now it is back
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 | Adverse reaction | · | · | ✓ |
| SD | Histamine abnormal | ✓ | ✓ | ○ |
| SD | Hyperaesthesia teeth | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Pain of skin | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ○ |
| SD | Temperature intolerance | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Lymphadenitis | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release