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34J-92347-98066

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
933 / CA
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Registered in v-safe
  2. 2021-03-05
    Dose 1 — Moderna
  3. 2021-03-05
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea — Feeling: Good · Diarrhea · Be unable to do your normal daily activities
    Free text: Running nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-12
    Health check-in — day 7, dose 1
    Feeling: Good · Diarrhea, Abdominal pain
    Adult check-in
  11. 2021-03-19
    Survey response — day 14, dose 1
    MedDRA: Breast pain, Lymphadenopathy — Feeling: Good
    Free text: Ive had intermittent breast pain that I did not attribute to the vaccine until I had a mammogram Monday. They said my lymph nodes on the injection side are swollen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-02
    Dose 2 — Moderna
  14. 2021-04-02
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Headache, Pain, Pyrexia — Feeling: Good
    Free text: Yesterday was an awful day. I didnt report. 12 hrs after vaccine I had terrible headache, low fever, aches. Ok today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-16
    Survey response — day 14, dose 2
    MedDRA: Lymphadenopathy, Peripheral swelling — Feeling: Good
    Free text: Swollen left lymph nodes and swollen arm in vaccine arm. Its going down a bit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-07
    Survey response — day 35, dose 2
    MedDRA: Autoimmune thyroiditis, Headache, Hyperthyroidism — Feeling: Good
    Free text: My thyroid numbers are messed up. I go to the doctor Monday. Regular check of hashimotis thyroid and Im hyperthyroid not hypothyroid
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-14
    Survey response — day 42, dose 2
    MedDRA: Abdominal distension, Flatulence, Gastrointestinal disorder, Nausea — Feeling: Fair
    Free text: Stomach issues. Nausea, gas, bloating . I dont know if its related to the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-07-02
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-02Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Running nose

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Ive had intermittent breast pain that I did not attribute to the vaccine until I had a mammogram Monday. They said my lymph nodes on the injection side are swollen.

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Yesterday was an awful day. I didnt report. 12 hrs after vaccine I had terrible headache, low fever, aches. Ok today.

Release 7 — day 14, dose 2

2021-04-16

Symptoms: Swollen left lymph nodes and swollen arm in vaccine arm. Its going down a bit.

Release 8 — day 35, dose 2

2021-05-07

Symptoms: My thyroid numbers are messed up. I go to the doctor Monday. Regular check of hashimotis thyroid and Im hyperthyroid not hypothyroid

Release 8 — day 42, dose 2

2021-05-14

Symptoms: Stomach issues. Nausea, gas, bloating . I dont know if its related to the vaccine

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 distension ✓ ✓ ✓
SDAutoimmune thyroiditis ✓ ✓ ✓
SDBreast pain ✓ ✓ ✓
SDFlatulence ✓ ✓ ✓
SDGastrointestinal disorder ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHyperthyroidism ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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

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