223-22764-84597
4 vaccinations
8 coded responses
53 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 950 / CA
- Registered
- 2021-01-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-01
Registered in v-safe
-
2021-01-01
Dose 1 — Moderna
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-15
- 2021-01-22
-
2021-01-28
Dose 2 — Moderna
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Rash appeared briefly after a shower. Went away quickly, didnt itch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-04-29
- 2021-07-29
-
2021-11-04
Dose 3 — Moderna
-
2021-11-04
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
- 2021-11-07
-
2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-09
- 2021-11-10
-
2021-11-11
Survey response — day 7, dose 3MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: Fatigue is mostly due to having poly myalgia rheumatica. I've had it for 10 years.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
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2021-12-16
Survey response — day 42, dose 3MedDRA: Cystitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a bladder infection and on antibiotic for it. Gone now.MedDRA releases: 2024-11 · check-in free text available
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2021-12-16
Report sent to call center — day 42, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-20
- 2022-02-03
-
2022-04-20
Dose 4 — Moderna
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2022-04-20
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
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2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Pain, Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tirednessFree text: I have poly myalgia rheumatica, so always have some aches and minor pain.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-05-04
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2022-05-11
Survey response — day 21, dose 4MedDRA: Cystitis — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have a bladder infection.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
- 2022-05-25
- 2022-06-01
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2022-07-20
Survey response — 3 months, dose 4MedDRA: Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Health condition: a UTI.MedDRA releases: 2024-11 · check-in free text available
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2022-07-20
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-07-21
- 2022-07-21
-
2022-07-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-07-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-19
Survey response — 6 months, dose 4MedDRA: Abdominal discomfort, Diarrhoea, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had mild fever and a brief episode of diarrhea and upset stomach for one day, October 15.MedDRA releases: 2024-11 · check-in free text available
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2023-04-20
Survey response — 12 months, dose 4MedDRA: Diarrhoea, Hospitalisation, Nausea, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-04-20
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-01 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Rash appeared briefly after a shower. Went away quickly, didnt itch.
Release 10 — day 7, dose 3
Systemic reaction (other): Fatigue is mostly due to having poly myalgia rheumatica. I've had it for 10 years.
Release 10 — day 42, dose 3
Symptoms: I had a bladder infection and on antibiotic for it. Gone now.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I have poly myalgia rheumatica, so always have some aches and minor pain.
Release 11 — day 21, dose 4
Symptoms: I have a bladder infection.
Release 12 — 3 months, dose 4
Symptoms: Health condition: a UTI.
Release 12 — 6 months, dose 4
Symptoms: I had mild fever and a brief episode of diarrhea and upset stomach for one day, October 15.
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 |
|---|---|---|---|---|
| HCVO | Hospitalisation | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Cystitis | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release