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Z5U-92194-51407

2 vaccinations 5 coded responses 20 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
921 / CA
Registered
2021-02-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-23
    Dose 1 — Moderna
  2. 2021-02-27
    Registered in v-safe
  3. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-02-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eczema, Pre-existing disease, Pruritus — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Free text: Itching on hands and feet (preexisting eczema in these places feed worse and in new spots)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-04
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  6. 2021-03-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-03-23
    Dose 2 — Moderna
  9. 2021-03-23
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abnormal dreams, Insomnia, Palpitations — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Heart racing or caffeine sensitivity, difficulty sleeping, weird dreams
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  13. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  14. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  15. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-06
    Survey response — day 14, dose 2
    MedDRA: Musculoskeletal stiffness — Feeling: Fair
    Free text: Stiff neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-22
    Survey response — 3 months, dose 2
    MedDRA: Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Persistent headache on right side from eyeball to shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-09-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-03-23
    Survey response — 12 months, dose 2
    MedDRA: Menstruation irregular, Pre-existing disease — Feeling: Good
    Free text: My period was shorter than normal for 5 cycles in a row, I have PCOS so my cycles are usually kind and inconsistent and my las 5 cycles have all been in a normal range (33-35 days)
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-23Moderna
22021-03-23Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Itching on hands and feet (preexisting eczema in these places feed worse and in new spots)

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Heart racing or caffeine sensitivity, difficulty sleeping, weird dreams

Release 7 — day 14, dose 2

2021-04-06

Symptoms: Stiff neck

Release 9 — 3 months, dose 2

2021-06-22

Symptoms: Persistent headache on right side from eyeball to shoulder

Release 11 — 12 months, dose 2

2022-03-23

Symptoms: My period was shorter than normal for 5 cycles in a row, I have PCOS so my cycles are usually kind and inconsistent and my las 5 cycles have all been in a normal range (33-35 days)

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
SDHeadache ✓ ✓ ✓
SDMenstruation irregular · · ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDPre-existing disease · · ✓
SROAbnormal dreams ✓ ✓ ✓
SROEczema ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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