LS9-11337-01914
2 vaccinations
6 coded responses
11 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 018 / MA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-14
Dose 1 — Moderna
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2021-01-15
Registered in v-safe
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, NauseaFree text: Dizziness intermittentlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-01-17
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia, Tongue dry — Feeling: Fair · Headache, Fatigue or tirednessFree text: Almost immediately after i had mg vaccine i had a dry tongue with a metalic tast in my mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes — Feeling: Fair · Headache, Fatigue or tirednessFree text: Cold sore 3rd dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-02-12
Dose 2 — Moderna
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to workFree text: Loss of appetite, eash trackibg down my arm that I was vaccinated in,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-08-13
Survey response — 6 months, dose 2MedDRA: Contusion, Discomfort, Migraine — Feeling: GoodFree text: Bruise easily and heavierenses Developed migrainesMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-12
Survey response — 12 months, dose 2MedDRA: Anaemia, Food allergy, Heavy menstrual bleeding, Menstruation irregular — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Irregular periods heavier anemia and new allergy to crab meatMedDRA releases: 2024-11 · check-in free text available
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2022-02-12
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness intermittently
Systemic reaction (other): Almost immediately after i had mg vaccine i had a dry tongue with a metalic tast in my mouth
Systemic reaction (other): Cold sore 3rd day
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite, eash trackibg down my arm that I was vaccinated in,
Release 9 — 6 months, dose 2
Symptoms: Bruise easily and heavierenses Developed migraines
Release 11 — 12 months, dose 2
Symptoms: Irregular periods heavier anemia and new allergy to crab meat
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 | Anaemia | · | · | ✓ |
| SD | Contusion | ✓ | · | ✓ |
| SD | Discomfort | ✓ | · | ✓ |
| SD | Food allergy | · | · | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Migraine | ✓ | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Tongue dry | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release