FZ5-12882-16086
1 vaccination
4 coded responses
12 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 462 / IN
- Registered
- 2021-05-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-11
Registered in v-safe
-
2021-05-11
Dose 1 — Moderna
- 2021-05-11
-
2021-05-12
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Heart rate increased, Nausea, Pallor, Sleep disorder — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: Woke in the middle of the night. Entire body felt hot inside. Nausea and feeling faint, pale and rapid heart beat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-18
- 2021-05-25
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2021-06-01
Survey response — day 21, dose 1MedDRA: Anxiety, Feeling abnormal, Feeling hot — Feeling: FairFree text: Over night my body felt hot all over inside. Felt anxiety and fuzzy in my head.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Survey response — day 28, dose 1MedDRA: Fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sore throat, nasal congestion and fatigue for about 3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-06-22
- 2021-08-10
- 2021-11-09
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2022-05-11
Survey response — 12 months, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-11 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Woke in the middle of the night. Entire body felt hot inside. Nausea and feeling faint, pale and rapid heart beat.
Release 8 — day 21, dose 1
Symptoms: Over night my body felt hot all over inside. Felt anxiety and fuzzy in my head.
Release 9 — day 28, dose 1
Symptoms: Sore throat, nasal congestion and fatigue for about 3 days.
Release 11 — 12 months, dose 1
Symptoms: Pregnancy
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pallor | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release