2R6-13098-04194
2 vaccinations
4 coded responses
27 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 133 / NY
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
-
2021-03-08
Dose 1 — Moderna
- 2021-03-08
- 2021-03-09
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain lower, Pain, Self-medication, Skin swelling — Feeling: GoodFree text: I feel a little puffy, for lack of a better word. I felt a dull throb in my lower right abdomen that went away after taking ibuprofen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node in armpit area on the arm where the shot was administeredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node in armpit on arm where I received shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
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2021-10-08
Survey response — 6 months, dose 2MedDRA: Gastritis, Oesophageal discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Gastritis, chronic in nature. I just went to see a specialist after having had a CT scan and abdominal ultrasound. Symptoms started 4-5 weeks after vaccine, but peaked at about 8 weeks after vaccine. Started as esophagus discomfort then gastritis. · Healthcare visit (other): Primary care visits and then just saw a gastroenterologistMedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-15
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I feel a little puffy, for lack of a better word. I felt a dull throb in my lower right abdomen that went away after taking ibuprofen.
Systemic reaction (other): Swollen lymph node in armpit area on the arm where the shot was administered
Release 5 — day 7, dose 1
Systemic reaction (other): Swollen lymph node in armpit on arm where I received shot
Release 10 — 6 months, dose 2
Symptoms: Gastritis, chronic in nature. I just went to see a specialist after having had a CT scan and abdominal ultrasound. Symptoms started 4-5 weeks after vaccine, but peaked at about 8 weeks after vaccine. Started as esophagus discomfort then gastritis. cut off by CDC
Healthcare visit (other): Primary care visits and then just saw a gastroenterologist
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 | Office visit | · | · | ✓ |
| SD | Gastritis | · | · | ✓ |
| SD | Oesophageal discomfort | · | · | ✓ |
| SRO | Abdominal pain lower | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release