TMU-66842-90740
3 vaccinations
2 coded responses
39 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 440 / OH
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-03
Registered in v-safe
-
2021-04-03
Dose 1 — Moderna
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-05-01
Dose 2 — Moderna
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-08
-
2021-05-15
Survey response — day 14, dose 2MedDRA: Abdominal pain lower, Ovarian cyst ruptured — Feeling: Good · Be unable to do your normal daily activitiesFree text: Pain episode, lower right abdomen, for 2 hours on May 14th. Symptoms line up with a ruptured ovarian cyst. Personally I do not link it with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-07-31
- 2021-10-30
-
2021-11-02
Dose 3 — Moderna
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-10
- 2021-11-16
- 2021-11-23
- 2021-11-30
-
2021-12-07
Survey response — day 35, dose 3MedDRA: Middle ear effusion, Tinnitus — Feeling: GoodFree text: Sensation of fluid in my left ear for 6 days. Creates extra crackily sounds in that ear. No pain or hearing loss.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2022-02-03
- 2022-05-05
- 2022-11-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Moderna | |
| 2 | 2021-05-01 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
Free text
Release 8 — day 14, dose 2
Symptoms: Pain episode, lower right abdomen, for 2 hours on May 14th. Symptoms line up with a ruptured ovarian cyst. Personally I do not link it with the vaccine.
Release 10 — day 35, dose 3
Symptoms: Sensation of fluid in my left ear for 6 days. Creates extra crackily sounds in that ear. No pain or hearing loss.
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 | Abdominal pain lower | ✓ | ✓ | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Ovarian cyst ruptured | ✓ | ✓ | ✓ |
| SD | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release