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
-
2021-02-23
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
-
2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Eczema, Pre-existing disease, Pruritus — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree 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
-
2021-03-04
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-11
- 2021-03-16
-
2021-03-23
Dose 2 — Moderna
- 2021-03-23
-
2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Heart racing or caffeine sensitivity, difficulty sleeping, weird dreamsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-28
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-04-01
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2021-04-06
Survey response — day 14, dose 2MedDRA: Musculoskeletal stiffness — Feeling: FairFree text: Stiff neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-20
- 2021-04-27
- 2021-05-04
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2021-06-22
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Persistent headache on right side from eyeball to shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-21
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2022-03-23
Survey response — 12 months, dose 2MedDRA: Menstruation irregular, Pre-existing disease — Feeling: GoodFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-23 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
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
Systemic reaction (other): Heart racing or caffeine sensitivity, difficulty sleeping, weird dreams
Release 7 — day 14, dose 2
Symptoms: Stiff neck
Release 9 — 3 months, dose 2
Symptoms: Persistent headache on right side from eyeball to shoulder
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Eczema | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release