U5M-29636-21193
4 vaccinations
18 coded responses
40 check-ins
16 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-13
Registered in v-safe
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2021-01-13
Dose 1 — Moderna
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2021-01-13
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-14
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-16
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
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2021-01-27
Survey response — day 14, dose 1MedDRA: Back pain, Headache, Insomnia — Feeling: FairFree text: Headaches and back pain. Also trouble staying asleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — day 21, dose 1MedDRA: Injection site pain — Feeling: FairFree text: Mild pain in arm started back up where the injection was. I also sprained my ankle at work, which is unrelated to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Dose 2 — Moderna
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2021-02-10
Survey response — day 0, dose 2MedDRA: Lymphadenopathy, Sensitive skin — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Sensitive skin, swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Constipation, Hyperaesthesia, Lymphadenitis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Inflamed lymph nodes around clavicle and groin, significant skin sensitivity, constipationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Sensitive skin — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Swollen lymph nodes in neck near clavicle, especially on the injection side; sensitive skinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Sensitive skin — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Mild inflammation in lymph nodes in clavicle/neck area, mild skin sensitivityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Constipation — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: ConstipationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Constipation — Feeling: Good · Site: PainFree text: ConstipationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Constipation — Feeling: Good · Site: Pain · Muscle or body achesFree text: ConstipationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
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2021-02-24
Survey response — day 14, dose 2MedDRA: Abdominal discomfort, Muscle spasms — Feeling: GoodFree text: Abdominal/stomach discomfort and crampingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — day 21, dose 2MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation delayed — Feeling: GoodFree text: My period was late by 3-4 days, cramps were more intense and bleeding was heavier at the beginningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-24
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2021-05-12
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: FairFree text: Left shoulder pain has returned. Seems to be in the same location as the shots.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-11
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2021-11-19
Dose 3 — Moderna
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2022-02-10
Survey response — 12 months, dose 2MedDRA: Ear discomfort, Ear pain, Hypoacusis, Myalgia, Tinnitus — Feeling: GoodFree text: Left ear pain and a feeling of fullness, like full of liquid but I haven't been in water. Some hearing loss and tinnitus. Left arm pain where my shoulder muscle attaches to the bicep.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-20
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2022-05-24
Survey response — 6 months, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Sore and Swollen lymph nodes in armpitsMedDRA releases: 2024-11 · check-in free text available
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2022-10-22
Dose 4 — ModernaCo-administered: Flu
- 2022-10-22
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2022-10-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-26
- 2022-10-28
- 2022-10-29
- 2022-11-05
- 2022-11-12
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2022-11-19
Survey response — day 28, dose 4MedDRA: Fatigue, Morning sickness, Nausea — Feeling: FairFree text: Nausea, I believe due to morning sickness. Fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-11-26
Survey response — day 35, dose 4MedDRA: Pregnancy test positive — Feeling: GoodFree text: Pregnancy symptoms. Tested positive with home pregnancy test.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-03
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2023-01-21
Survey response — 3 months, dose 4MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-10-22 | Moderna | Flu |
Call center
2 call center cases
2 priority 2/3 (triaged and no follow up)
Free text
Release 2 — day 14, dose 1
Symptoms: Headaches and back pain. Also trouble staying asleep
Release 3 — day 21, dose 1
Symptoms: Mild pain in arm started back up where the injection was. I also sprained my ankle at work, which is unrelated to the vaccine.
Release 4 — day 0, dose 2
Systemic reaction (other): Sensitive skin, swollen lymph nodes
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Inflamed lymph nodes around clavicle and groin, significant skin sensitivity, constipation
Systemic reaction (other): Swollen lymph nodes in neck near clavicle, especially on the injection side; sensitive skin
Systemic reaction (other): Mild inflammation in lymph nodes in clavicle/neck area, mild skin sensitivity
Systemic reaction (other): Constipation
Systemic reaction (other): Constipation
Systemic reaction (other): Constipation
Release 4 — day 14, dose 2
Symptoms: Abdominal/stomach discomfort and cramping
Release 5 — day 21, dose 2
Symptoms: My period was late by 3-4 days, cramps were more intense and bleeding was heavier at the beginning
Release 8 — 3 months, dose 2
Symptoms: Left shoulder pain has returned. Seems to be in the same location as the shots.
Release 11 — 12 months, dose 2
Symptoms: Left ear pain and a feeling of fullness, like full of liquid but I haven't been in water. Some hearing loss and tinnitus. Left arm pain where my shoulder muscle attaches to the bicep.
Release 11 — 6 months, dose 3
Symptoms: Sore and Swollen lymph nodes in armpits
Release 12 — day 28, dose 4
Symptoms: Nausea, I believe due to morning sickness. Fatigue.
Release 12 — day 35, dose 4
Symptoms: Pregnancy symptoms. Tested positive with home pregnancy test.
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 discomfort | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Hypoacusis | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Morning sickness | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pregnancy test positive | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Hyperaesthesia | ✓ | ✓ | ✓ |
| SRO | Lymphadenitis | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release