23Z-15125-89917
5 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-02-23
Registered in v-safe
- 2021-02-23
- 2021-02-26
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
- 2021-03-09
- 2021-03-10
- 2021-03-12
- 2021-03-18
-
2021-04-08
Survey response — day 35, dose 2MedDRA: Arthralgia, Muscle strain — Feeling: FairFree text: Presumed muscle strain right lumbar-gluteal region. Baseline soreness with sharp spasm pain on hip extension.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
-
2021-06-05
Survey response — 3 months, dose 2MedDRA: Impaired healing, Ligament sprain — Feeling: GoodFree text: Left knee sprain, taking unusually long to heal. >2 weeks to date. Can't recall any specific injury/trauma.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-02
-
2021-12-03
Dose 3 — Moderna
-
2022-03-04
Survey response — 12 months, dose 2MedDRA: Frequent bowel movements, Gastrointestinal sounds abnormal, Muscle spasms — Feeling: FairFree text: Intestinal rumbling, cramping and increased frequency of bowel movement, past 3 days. Not clearly associated with a specific food.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-27
Dose 4 — Moderna
-
2022-09-14
Dose 5 — Pfizer-BioNTech
- 2022-09-19
- 2022-09-20
- 2022-09-21
-
2022-10-07
Survey response — day 21, dose 5MedDRA: Adverse reaction, Lacrimation increased, Oropharyngeal pain, Paranasal sinus hypersecretion, Rhinorrhoea, Sinus congestion, Upper respiratory tract infection — Feeling: FairFree text: 3 days ago dvlpd runny nose, watery eyes, felt like allergies. Day 2 sore throat, no other COVID symptoms, no access to test (travelling.) Yesterday sinus congestion, drainage. Never any cough, SOB, fever, chills, muscle aches. Felt like typical URI.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2022-10-19
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-06-27 | Moderna | No |
| 5 | 2022-09-14 | Pfizer-BioNTech | No |
Free text
Release 7 — day 35, dose 2
Symptoms: Presumed muscle strain right lumbar-gluteal region. Baseline soreness with sharp spasm pain on hip extension.
Release 8 — 3 months, dose 2
Symptoms: Left knee sprain, taking unusually long to heal. >2 weeks to date. Can't recall any specific injury/trauma.
Release 11 — 12 months, dose 2
Symptoms: Intestinal rumbling, cramping and increased frequency of bowel movement, past 3 days. Not clearly associated with a specific food.
Release 12 — day 21, dose 5
Symptoms: 3 days ago dvlpd runny nose, watery eyes, felt like allergies. Day 2 sore throat, no other COVID symptoms, no access to test (travelling.) Yesterday sinus congestion, drainage. Never any cough, SOB, fever, chills, muscle aches. Felt like typical URI. cut off by CDC
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 | Adverse reaction | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Frequent bowel movements | · | · | ✓ |
| SD | Gastrointestinal sounds abnormal | · | · | ✓ |
| SD | Impaired healing | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Ligament sprain | ✓ | ✓ | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Muscle strain | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release