VBP-32998-53109
2 vaccinations
6 coded responses
13 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 201 / VA
- Registered
- 2021-07-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-15
Dose 1 — Moderna
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2021-07-16
Registered in v-safe
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2021-07-16
Dose 2 — Moderna
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2021-07-16
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-07-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-07-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, NauseaAdult check-in
- 2021-07-19
- 2021-07-20
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2021-07-23
Survey response — day 7, dose 2MedDRA: Dyspepsia, Vision blurred — Feeling: FairFree text: heartburn, blurry vision in left eyeMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-30
Survey response — day 14, dose 2MedDRA: Dyspepsia, Fatigue, Palpitations — Feeling: GoodFree text: Fatigue & tiredness. Feeling of heart palpitations. Heartburn and indigestion. Enough that I wanted to stop my daily activities and lie down, but I was able to tough it out and continue daily activities.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-09
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2021-08-22
Survey response — day 35, dose 2MedDRA: Anxiety, Depersonalisation/derealisation disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Depersonalization, anxietyMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-28
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2021-10-15
Survey response — 3 months, dose 2MedDRA: Abdominal pain, Abdominal pain upper, Abdominal tenderness, Back pain, Nausea, Pain, Vision blurred, Visual impairment — Feeling: Good · Be unable to do your normal daily activitiesFree text: Stomach tenderness, pain in the middle abdomen and upper right abdomen, pain in (or radiating to) the middle back. Nausea/sick to my stomach. Vision that is slightly misaligned or blurryMedDRA releases: 2024-11 · check-in free text available
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2022-01-14
Survey response — 6 months, dose 2MedDRA: Abdominal pain, Anxiety, Back pain, Chest discomfort, Migraine, Nausea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: gallbladder(?) pain in the right abdomen & back, pressure in chest, anxiety attacks, migraine with nauseaMedDRA releases: 2024-11 · check-in free text available
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2022-07-16
Survey response — 12 months, dose 2MedDRA: Anxiety, COVID-19, Decreased appetite, Diarrhoea, Dyspepsia, Nausea, Pregnancy, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had covid starting June 25. Also pregnant. Loss of appetite, diarrhea, congestion in my head, indigestion, nausea, bad anxiety.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-15 | Moderna | No |
| 2 | 2021-07-16 | Moderna | No |
Free text
Release 9 — day 7, dose 2
Systemic reaction (other): heartburn, blurry vision in left eye
Release 9 — day 14, dose 2
Symptoms: Fatigue & tiredness. Feeling of heart palpitations. Heartburn and indigestion. Enough that I wanted to stop my daily activities and lie down, but I was able to tough it out and continue daily activities.
Release 9 — day 35, dose 2
Symptoms: Depersonalization, anxiety
Release 10 — 3 months, dose 2
Symptoms: Stomach tenderness, pain in the middle abdomen and upper right abdomen, pain in (or radiating to) the middle back. Nausea/sick to my stomach. Vision that is slightly misaligned or blurry
Release 10 — 6 months, dose 2
Symptoms: gallbladder(?) pain in the right abdomen & back, pressure in chest, anxiety attacks, migraine with nausea
Release 12 — 12 months, dose 2
Symptoms: I had covid starting June 25. Also pregnant. Loss of appetite, diarrhea, congestion in my head, indigestion, nausea, bad anxiety.
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 | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Abdominal tenderness | · | · | ✓ |
| SD | Anxiety | ✓ | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Depersonalisation/derealisation disorder | ✓ | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspepsia | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Palpitations | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Dyspepsia | ✓ | · | ✓ |
| SRO | Vision blurred | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release