2EG-17553-14335
4 vaccinations
10 coded responses
46 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 960 / CA
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: I don't know whether overnight diarrhea was vaccine related. 3 bouts between 2 and 4 a.m.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-14
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Injection site discomfort, Injection site nodule — Feeling: GoodFree text: At day 7 or 8 after my vaccination, I had a small mosquito bite sized bump which expanded to a quarter sized welt over the next day or 2 which was sore upon palpation. It has since subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
-
2021-02-04
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Nausea, Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: My normal temperature is 97.1 so 98.9 is high for me. Temp was 98.1 this morning. The skin of my back hurts. Nausea comes and goes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: 100.5 fever Friday evening until mid-morning SaturdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Good · Site: Pain · DiarrheaFree text: FYI, i had symptoms from about 2 hours after the shot until 48-52 hours after the shot. Worst was 24 until 48 hoirs afterwards, coinciding with fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-12
-
2021-02-18
Survey response — day 14, dose 2MedDRA: Headache — Feeling: FairFree text: Headache for the last 2 days. May not be vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-08
- 2021-08-08
-
2021-10-25
Dose 3 — Moderna
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature decreased — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Fatigue or tirednessFree text: Fever is low grade (99 compared to my normal 97.4).MedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Fatigue, Malaise, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pain extends to inside of arm and armpit on side where I got the injection. I felt okay this morning but felt ill and tired by about 2 p.m.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · DiarrheaAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Injection site warmth — Feeling: Good · Site: PainFree text: I had quite a bit of warmth/heat at the injection site since the day after if not the day of the injection. It is still slightly warm to the touch.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
- 2022-04-25
-
2022-09-23
Dose 4 — Moderna
-
2022-10-06
Survey response — day 7, dose 4MedDRA: Fatigue, Pain, Pyrexia — Feeling: GoodFree text: I got booster on the 23rd of September and was achy, fatigued and had a low grade fever by 9 a.m. the 24th. Lasted through mid day the 25th.andMedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-14
- 2022-10-21
- 2022-10-30
- 2022-11-04
- 2022-12-23
- 2023-03-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I don't know whether overnight diarrhea was vaccine related. 3 bouts between 2 and 4 a.m.
Release 2 — day 14, dose 1
Symptoms: At day 7 or 8 after my vaccination, I had a small mosquito bite sized bump which expanded to a quarter sized welt over the next day or 2 which was sore upon palpation. It has since subsided.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): My normal temperature is 97.1 so 98.9 is high for me. Temp was 98.1 this morning. The skin of my back hurts. Nausea comes and goes.
Systemic reaction (other): 100.5 fever Friday evening until mid-morning Saturday
Systemic reaction (other): FYI, i had symptoms from about 2 hours after the shot until 48-52 hours after the shot. Worst was 24 until 48 hoirs afterwards, coinciding with fever.
Release 4 — day 14, dose 2
Symptoms: Headache for the last 2 days. May not be vaccine related.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fever is low grade (99 compared to my normal 97.4).
Systemic reaction (other): Pain extends to inside of arm and armpit on side where I got the injection. I felt okay this morning but felt ill and tired by about 2 p.m.
Systemic reaction (other): I had quite a bit of warmth/heat at the injection site since the day after if not the day of the injection. It is still slightly warm to the touch.
Release 12 — day 7, dose 4
Systemic reaction (other): I got booster on the 23rd of September and was achy, fatigued and had a low grade fever by 9 a.m. the 24th. Lasted through mid day the 25th.and
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 | Injection site discomfort | ✓ | ✓ | ✓ |
| SD | Injection site nodule | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release