T5D-10072-84614
3 vaccinations
6 coded responses
40 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 193 / PA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
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2021-02-04
Dose 1 — Moderna
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2021-02-04
Survey response — day 0, dose 1MedDRA: Burning sensation — Feeling: Good · Site: Pain · HeadacheFree text: Slight burning sensation right after shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
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2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-02-08
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2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-02-11
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2021-02-18
Survey response — day 14, dose 1MedDRA: Injection site rash, Injection site swelling — Feeling: GoodFree text: Injection site got a rash and swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
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2021-03-04
Dose 2 — Moderna
- 2021-03-04
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Redness, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Fast heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site reaction, Muscle twitching — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Twitching at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-13
Health check-in — day 7, dose 2Feeling: Good · Site: Redness, Swelling · Joint painsAdult check-in
- 2021-03-19
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-16
- 2021-06-03
- 2021-09-02
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2022-01-21
Dose 3 — Moderna
- 2022-01-21
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2022-01-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2022-01-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2022-01-24
- 2022-01-25
- 2022-01-26
- 2022-01-27
- 2022-01-28
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2022-02-04
Survey response — day 14, dose 3MedDRA: Gestational diabetes — Feeling: GoodFree text: Gestational diabetes which sugars were fine before shotMedDRA releases: 2024-11 · check-in free text available
- 2022-02-11
- 2022-02-20
- 2022-02-25
- 2022-03-04
- 2022-04-22
- 2022-07-24
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2023-01-23
Survey response — 12 months, dose 3MedDRA: Secretion discharge, Sinus disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-01-23
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2022-01-21 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Slight burning sensation right after shot
Release 4 — day 14, dose 1
Symptoms: Injection site got a rash and swelling
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Fast heart rate
Systemic reaction (other): Twitching at injection site
Release 11 — day 14, dose 3
Symptoms: Gestational diabetes which sugars were fine before shot
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 | Gestational diabetes | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release