ZTM-29658-81749
3 vaccinations
4 coded responses
27 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 347 / FL
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-15
Dose 1 — Moderna
-
2021-03-16
Registered in v-safe
- 2021-03-16
- 2021-03-17
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-22
- 2021-03-29
-
2021-04-05
Survey response — day 21, dose 1MedDRA: Diarrhoea, Pyrexia — Feeling: GoodFree text: Diarrhea has worsen and Ive had a low fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Dose 2 — Moderna
- 2021-04-12
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams, Confusional state, Disturbance in attention, Insomnia, Judgement impaired, Limb discomfort, Peripheral coldness, Pollakiuria, Tachyphrenia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: * Frequent urination, fever dream (anxious dreams), trouble staying asleep, reduced concentration/easily confused, impaired judgment, racing thoughts, feeling of heavy limbs, cold hands/feet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Menstruation irregular — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Menstruation started. Have not had menstruation for several years as I have a Nexplanon implant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-19
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2021-05-24
Survey response — day 42, dose 2MedDRA: Lip blister, Lip pain, Lip swelling, Oral herpes — Feeling: GoodFree text: Ive had cold sores all my life, but after the first vaccine I had some unusually strong cold sores. Theyve gotten more frequent and severe and I gotta think its related to the vaccine. Unusual effects include lip swelling, blistering, stingiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-16
- 2021-10-11
-
2021-11-27
Dose 3 — Moderna
- 2022-04-12
- 2022-05-28
- 2022-11-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
Free text
Release 6 — day 21, dose 1
Symptoms: Diarrhea has worsen and Ive had a low fever.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): * Frequent urination, fever dream (anxious dreams), trouble staying asleep, reduced concentration/easily confused, impaired judgment, racing thoughts, feeling of heavy limbs, cold hands/feet.
Systemic reaction (other): Menstruation started. Have not had menstruation for several years as I have a Nexplanon implant.
Release 8 — day 42, dose 2
Symptoms: Ive had cold sores all my life, but after the first vaccine I had some unusually strong cold sores. Theyve gotten more frequent and severe and I gotta think its related to the vaccine. Unusual effects include lip swelling, blistering, stingi
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Lip blister | ✓ | ✓ | ✓ |
| SD | Lip pain | ✓ | ✓ | ✓ |
| SD | Lip swelling | ✓ | ✓ | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Judgement impaired | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
| SRO | Tachyphrenia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release