FZL-15158-29291
2 vaccinations
7 coded responses
21 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 672 / KS
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
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2021-03-11
Dose 1 — Moderna
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2021-03-11
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-13
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · HeadacheFree text: Possible chemical pregnancy. Positive pregnancy test followed by a week late periodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
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2021-03-18
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-03-25
Survey response — day 14, dose 1MedDRA: Chills, Fatigue, Malaise, Tonsillar erythema — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Malaise, fatigue, chills, red streaky tonsilsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 21, dose 1MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Ive had what feels like a cold for what seems like two weeks nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Dose 2 — Moderna
- 2021-04-08
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Nasal dryness, Rhinalgia — Feeling: Fair · Fatigue or tirednessFree text: Painfully dry nasal passagesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Nasal dryness, Tinnitus — Feeling: FairFree text: Dry nasal passages, severe tinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 14, dose 2MedDRA: Ageusia, Decreased appetite, Menstruation irregular, Weight decreased — Feeling: GoodFree text: Weight loss, loss of appetite, loss of taste, irregular menstrual cycleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — day 21, dose 2MedDRA: Nasal dryness — Feeling: GoodFree text: Dry noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-15
- 2021-07-08
- 2021-10-07
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Possible chemical pregnancy. Positive pregnancy test followed by a week late period
Release 6 — day 14, dose 1
Symptoms: Malaise, fatigue, chills, red streaky tonsils
Release 6 — day 21, dose 1
Symptoms: Ive had what feels like a cold for what seems like two weeks now
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Painfully dry nasal passages
Systemic reaction (other): Dry nasal passages, severe tinnitus
Release 7 — day 14, dose 2
Symptoms: Weight loss, loss of appetite, loss of taste, irregular menstrual cycle
Release 8 — day 21, dose 2
Symptoms: Dry nose
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 | Ageusia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Nasal dryness | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Tonsillar erythema | ✓ | ✓ | ✓ |
| SD | Weight decreased | ✓ | ✓ | ✓ |
| SRO | Nasal dryness | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Rhinalgia | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release