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2SN-88080-05568

3 vaccinations 5 coded responses 17 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
606 / IL
Registered
2021-03-26
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Dose 1 — Moderna
  2. 2021-03-26
    Registered in v-safe
  3. 2021-03-26
    Health check-in — day 7, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-03-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-14
    Dose 2 — Moderna
  7. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  8. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  9. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  10. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  11. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  12. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heavy menstrual bleeding, Premature menarche — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Shoulder has felt like its been pulled since Ive gotten shot. My menstrual cycle came a week early and I had it for over a week. Usually its 4 days. Its been 8 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-21
    Survey response — day 7, dose 2
    MedDRA: Pain of skin — Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Free text: On entire Left side of body skin feels a little tender. Especially my left upper leg/thigh and buttock.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-28
    Survey response — day 14, dose 2
    MedDRA: Asthenia, Facial pain, Fatigue, Headache, Malaise, Muscle strain, Myalgia, Pain, Pain in extremity, Periorbital pain — Feeling: Poor
    Free text: New just today. Low energy, fatigue, general feelings of unwell, muscle aches and general soreness, facial pains especially around the eyes, arm is still sore; feels like Ive pulled a muscle.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-05
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-05
    Dose 3 — Moderna
    Co-administered: yes
  20. 2021-11-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Anxiety, Palpitations — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Throbbing heart beat or anxiety
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-20
    Survey response — day 14, dose 3
    MedDRA: Abdominal pain upper — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Intense stomach pain
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna
22021-04-14Moderna
32021-11-05Moderna Yes

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Shoulder has felt like its been pulled since Ive gotten shot. My menstrual cycle came a week early and I had it for over a week. Usually its 4 days. Its been 8 days.

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): On entire Left side of body skin feels a little tender. Especially my left upper leg/thigh and buttock.

Release 8 — day 14, dose 2

2021-04-28

Symptoms: New just today. Low energy, fatigue, general feelings of unwell, muscle aches and general soreness, facial pains especially around the eyes, arm is still sore; feels like Ive pulled a muscle.

Release 10 — days 1–6 daily, dose 3

2021-11-08

Systemic reaction (other): Throbbing heart beat or anxiety

Release 10 — day 14, dose 3

2021-11-20

Symptoms: Intense stomach pain

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain upper · · ✓
SDAsthenia · · ✓
SDFacial pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ○
SDMalaise ✓ ✓ ✓
SDMuscle strain · · ✓
SDMyalgia ✓ ✓ ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ✓
SDPeriorbital pain · · ✓
SROAnxiety · · ✓
SROHeavy menstrual bleeding ✓ ✓ ✓
SROPain of skin ✓ ✓ ✓
SROPalpitations · · ✓
SROPremature menarche ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release