XXC-19355-68301
3 vaccinations
8 coded responses
39 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 631 / MO
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
B5Q-24812-00596
Child or adolescent in my care · Female · 2021-11-13
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
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2021-03-23
Survey response — 0 day, dose 1MedDRA: Dizziness, Feeling abnormal — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia, Ear discomfort, Head discomfort — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Nervous system disorder, Sensitive skin — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Sensitive skin, Skin irritation, Tenderness — Feeling: Good · Site: Pain · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Radiculopathy, Sensitive skin — Feeling: Good · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Facial discomfort — Feeling: Good · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
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2021-04-20
Dose 2 — Moderna
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Pain, Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-28
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-20
- 2021-10-21
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2021-11-22
Dose 3 — Moderna
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2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
-
2021-11-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-02-21
- 2022-05-23
- 2022-11-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
Free text
Release 6
Systemic reaction (other): Light headed and mouth, ears and face all feel weird
Systemic reaction (other): Ears and head feel weird, also have a strange taste in my mouth.
Systemic reaction (other): Left side of face is still sensitive, like the nerves are irritated.
Systemic reaction (other): Left side of face is still irritated/sensitive/tender under the surface, feels like my lower back did before I got shingles (I've had them twice in the same spot on my lower back) So idk hope they won't pop up on my face.
Systemic reaction (other): Left side of face still feels weird/sensitive/nerves seem irritated
Systemic reaction (other): Left side face weirdness still there, but seems less than previous days. So, that's good.
Release 7
Systemic reaction (other): ears also hurt
Systemic reaction (other): Pain radiating from the center of my collar bone to the right side almost to my shoulder. Also, fever broke around 3am.
Free-text releases are not linked to a specific 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 |
|---|---|---|---|---|
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Facial discomfort | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Nervous system disorder | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Radiculopathy | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Skin irritation | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release