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Y5W-17315-59907

2 vaccinations 5 coded responses 8 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
521 / IA
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Registered in v-safe
  2. 2021-03-24
    Dose 1 — Moderna
  3. 2021-03-24
    Survey response — day 0, dose 1
    MedDRA: Acute stress disorder, Head discomfort, Immediate post-injection reaction — Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Free text: When i first got the shot within probably 3 min of taking it, or 5, i had not a headrush but a bodyrush
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  5. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear discomfort, Ear pruritus, Otorrhoea — Feeling: Good · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Free text: On friday the 26th my ears were running and very itchy and grossly dirty when i cleaned them which is weird because i stay on top of cleaning them regularly
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-31
    Survey response — day 7, dose 1
    MedDRA: Depressed mood, Mental impairment, Oral pain, Pain in jaw, Toothache — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work
    Free text: Wow i am depressed like...not doing ok mentally. Also my teeth /jaw have been hurting especially on the lower right of my mouth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-21
    Dose 2 — Moderna
  10. 2021-04-21
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: I did NOT get a weird bodyrush like i did during the first vaccination i think it was because i was very hydrated this time :)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Peripheral swelling — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: My right thumb has two swollen spots on it. I got the covid vaccine in my right arm but idk if the thumb thing is related. This started (the spots on my thumb) the day after i got vaccinated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-21Moderna

Free text

Release 6 — day 0, dose 1

2021-03-24

Systemic reaction (other): When i first got the shot within probably 3 min of taking it, or 5, i had not a headrush but a bodyrush

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): On friday the 26th my ears were running and very itchy and grossly dirty when i cleaned them which is weird because i stay on top of cleaning them regularly

Release 6 — day 7, dose 1

2021-03-31

Systemic reaction (other): Wow i am depressed like...not doing ok mentally. Also my teeth /jaw have been hurting especially on the lower right of my mouth.

Release 7 — day 0, dose 2

2021-04-21

Systemic reaction (other): I did NOT get a weird bodyrush like i did during the first vaccination i think it was because i was very hydrated this time :)

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): My right thumb has two swollen spots on it. I got the covid vaccine in my right arm but idk if the thumb thing is related. This started (the spots on my thumb) the day after i got vaccinated.

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

FieldPreferred term2021-092023-042024-11
SROAcute stress disorder ✓ · ✓
SRODepressed mood ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROEar pruritus ✓ ✓ ✓
SROHead discomfort ○ ✓ ○
SROImmediate post-injection reaction ✓ · ✓
SROMental impairment ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROOtorrhoea ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROToothache ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release