2XT-21964-63955
5 vaccinations
5 coded responses
40 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 959 / CA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Moderna
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Skin disorder, Skin operation, Unevaluable event — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Had minor surgery on abdomen for skin problem the day after getting vaccinated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-09
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
-
2021-03-16
Dose 2 — Moderna
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-04-27
Survey response — day 42, dose 2MedDRA: Abdominal distension, Abdominal pain upper, Decreased appetite, Flatulence, Gastrointestinal disorder, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Stomach pains, no appetite, and abdominal gas. I have a GI issue that causes these sx so I didnt think that it was related to the Covid vaccine or CovidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-09-14
-
2021-10-20
Dose 3 — Moderna
- 2022-03-16
-
2022-04-15
Dose 4 — Moderna
- 2022-04-26
- 2022-05-01
- 2022-05-06
- 2022-05-14
-
2022-05-20
Survey response — day 35, dose 4MedDRA: Unevaluable event, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I'm 3days post colonoscopy, I have a UTI. So this doesn't have anything to do with vaccine. Otherwise feeling good! · Healthcare visit (other): Not an appointment but turned in a urine sample.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-24
- 2022-05-27
- 2022-05-27
-
2022-07-15
Survey response — 3 months, dose 4MedDRA: Abdominal pain upper, Stress — Feeling: GoodFree text: Stomach pains-related to stressMedDRA releases: 2024-11 · check-in free text available
-
2022-09-12
Dose 5 — ModernaCo-administered: Flu
- 2022-09-24
-
2022-09-27
Survey response — day 14, dose 5MedDRA: Abdominal pain upper, Asthenia, Flatulence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach pains & gas. Very low energyMedDRA releases: 2024-11 · check-in free text available
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-25
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-20 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
| 5 | 2022-09-12 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Had minor surgery on abdomen for skin problem the day after getting vaccinated.
Release 8 — day 42, dose 2
Symptoms: Stomach pains, no appetite, and abdominal gas. I have a GI issue that causes these sx so I didnt think that it was related to the Covid vaccine or Covid
Release 11 — day 35, dose 4
Symptoms: I'm 3days post colonoscopy, I have a UTI. So this doesn't have anything to do with vaccine. Otherwise feeling good!
Healthcare visit (other): Not an appointment but turned in a urine sample.
Release 12 — 3 months, dose 4
Symptoms: Stomach pains-related to stress
Release 12 — day 14, dose 5
Symptoms: Stomach pains & gas. Very low energy
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 | Unevaluable event | · | · | ✓ |
| SD | Abdominal distension | ○ | ✓ | ○ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Flatulence | ✓ | · | ✓ |
| SD | Gastrointestinal disorder | ○ | ✓ | ○ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Stress | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Skin disorder | · | · | ✓ |
| SRO | Skin operation | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release