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38M-20368-53139

4 vaccinations 17 coded responses 34 check-ins 17 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
104 / NY
Registered
2021-03-23
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-05
    Dose 1 — Moderna
  2. 2021-03-23
    Registered in v-safe
  3. 2021-03-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-03-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-02
    Dose 2 — Moderna
  6. 2021-04-02
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-10
    Survey response — day 7, dose 2
    MedDRA: Abdominal pain, Fatigue, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: On April 3, 2021 I had a fever between 101.5F -102F for about 12 hours with body aches and abdominal cramps. Then on 4/4/21 I had a low grade fever 99 F all day w/mold to no aches, just very tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-07-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-10-01
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I have been experiencing shortness of breath. I'm able to inhale deeply without wheezing nor congestion BUT I need to sigh or taking deep breaths to feel better. I regularly feel like I am not getting enough air. Sometimes use my aasthma inhaler.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-10-01
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  12. 2021-10-08
  13. 2021-10-13
  14. 2021-11-29
    Dose 3 — Moderna
  15. 2021-11-29
    Survey response — day 0, dose 3
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    Free text: It's too early to say. I usually experience symptoms after 12 to 24 hours.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-11-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-12-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abdominal pain, Arthralgia, Influenza like illness, Myalgia — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Abdominal pain
    Free text: Since yesterday had a lot of muscle aches in my legs only and pain in my upper right leg joint. The abdominal pain isn't constant but feels like when one has a stomach flu but I have not had diarrhea nor vomiting.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-12-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Eye pruritus, Pruritus — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Abdominal pain
    Free text: Itchy eyes, pain in my right hip joint (I have never had pain there until this week). The itch in my eyes=80% of the time and the itch on my skin is random (location on my arms & chest) & happens through out the day- not constant (but no rash)
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Abdominal pain
    Adult check-in
  20. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-12-06
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  22. 2021-12-13
    Survey response — day 14, dose 3
    MedDRA: Head discomfort, Headache — Feeling: Good
    Free text: Pressure headaches
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-12-20
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-12-27
    Survey response — day 28, dose 3
    MedDRA: Night sweats, Ocular discomfort, Paranasal sinus discomfort, Self-medication — Feeling: Fair
    Free text: For about 4 days I had a lot of sinus pressure with no mucus or discharge, pressure in my eyes, and brief sweats at night (but it could be hot flashes). I feel better today after taking Benadryl (along w/reg allergy meds and using a Neti pot.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-01-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-01-10
    Survey response — day 42, dose 3
    MedDRA: Chills, Exposure to SARS-CoV-2, Fatigue, Lacrimation increased, Paranasal sinus discomfort, SARS-CoV-2 test negative, Skin burning sensation, Upper-airway cough syndrome — Feeling: Good
    Free text: Days on and off with sinus pressure, post nasal drip, watery eyes, chills, sight burning sensation to certain areas of skin, and tiredness. After being exposed to someone/covid, I took three covid tests and all were negative.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-02-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-04-07
    Dose 4 — Moderna
  29. 2022-04-08
    Survey response — days 1–6 daily, dose 4
    MedDRA: Feeling cold, Peripheral coldness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Cold hands, nose, and feet
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-04-09
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chest pain, Painful respiration — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: When I inhaled upon walking I had a sharp pain in the top portion of the right side of my chest. The same happened stay in the early evening. I self-administered my albuterol pump both times and the pain went away
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-04-10
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Awoke with a little shortness of breath but after using my albuterol pump I felt better.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-04-11
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chest pain, Painful respiration — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Like the past few days, I wake up with a pain in my upper right chest (?lung?) when I inhale deeply. I again administered two puffs of my albuterol pump and I felt better. My oxygen lanes vacillate between 95 and 97 so I don't worry.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-04-12
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dyspnoea exertional — Feeling: Good
    Free text: Breathing is better but I was a little sort of breath when I went for a walk (issued inhaler & freely better).
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-04-13
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chest pain, Dyspnoea exertional, Headache — Feeling: Good · Headache, Fatigue or tiredness
    Free text: I didn't wake up with the pain in my upper right chest BUT when I went for a walk I felt winded/short of breath the entire time. I walked about one mile at a brisk pace. Headache was upon standing and was sharp/short on the top rt of head.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-04-14
    Survey response — day 7, dose 4
    MedDRA: Dyspnoea exertional — Feeling: Good
    Free text: Some of breath while walking but 2albuterol puffs made it all better
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-04-21
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-04-28
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-05
    Survey response — day 28, dose 4
    MedDRA: Parosmia — Feeling: Good
    Free text: I smell things that aren't really there. I usually smell food.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-05-12
    Survey response — day 35, dose 4
    MedDRA: Parosmia, Taste disorder — Feeling: Good
    Free text: Inability to smell or taste certain foods. It's not everything but happens quite often.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-05-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-07-09
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  42. 2023-04-09
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-02Moderna
32021-11-29Moderna No
42022-04-07Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 7, dose 2

2021-04-10

Systemic reaction (other): On April 3, 2021 I had a fever between 101.5F -102F for about 12 hours with body aches and abdominal cramps. Then on 4/4/21 I had a low grade fever 99 F all day w/mold to no aches, just very tired.

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: I have been experiencing shortness of breath. I'm able to inhale deeply without wheezing nor congestion BUT I need to sigh or taking deep breaths to feel better. I regularly feel like I am not getting enough air. Sometimes use my aasthma inhaler.

Release 10 — day 0, dose 3

2021-11-29

Systemic reaction (other): It's too early to say. I usually experience symptoms after 12 to 24 hours.

Release 10 — days 1–6 daily, dose 3

2021-12-01

Systemic reaction (other): Since yesterday had a lot of muscle aches in my legs only and pain in my upper right leg joint. The abdominal pain isn't constant but feels like when one has a stomach flu but I have not had diarrhea nor vomiting.

2021-12-02

Systemic reaction (other): Itchy eyes, pain in my right hip joint (I have never had pain there until this week). The itch in my eyes=80% of the time and the itch on my skin is random (location on my arms & chest) & happens through out the day- not constant (but no rash)

Release 10 — day 14, dose 3

2021-12-13

Symptoms: Pressure headaches

Release 10 — day 28, dose 3

2021-12-27

Symptoms: For about 4 days I had a lot of sinus pressure with no mucus or discharge, pressure in my eyes, and brief sweats at night (but it could be hot flashes). I feel better today after taking Benadryl (along w/reg allergy meds and using a Neti pot.

Release 10 — day 42, dose 3

2022-01-10

Symptoms: Days on and off with sinus pressure, post nasal drip, watery eyes, chills, sight burning sensation to certain areas of skin, and tiredness. After being exposed to someone/covid, I took three covid tests and all were negative.

Release 11 — days 1–6 daily, dose 4

2022-04-08

Systemic reaction (other): Cold hands, nose, and feet

2022-04-09

Systemic reaction (other): When I inhaled upon walking I had a sharp pain in the top portion of the right side of my chest. The same happened stay in the early evening. I self-administered my albuterol pump both times and the pain went away

2022-04-10

Systemic reaction (other): Awoke with a little shortness of breath but after using my albuterol pump I felt better.

2022-04-11

Systemic reaction (other): Like the past few days, I wake up with a pain in my upper right chest (?lung?) when I inhale deeply. I again administered two puffs of my albuterol pump and I felt better. My oxygen lanes vacillate between 95 and 97 so I don't worry.

2022-04-12

Systemic reaction (other): Breathing is better but I was a little sort of breath when I went for a walk (issued inhaler & freely better).

2022-04-13

Systemic reaction (other): I didn't wake up with the pain in my upper right chest BUT when I went for a walk I felt winded/short of breath the entire time. I walked about one mile at a brisk pace. Headache was upon standing and was sharp/short on the top rt of head.

Release 11 — day 7, dose 4

2022-04-14

Systemic reaction (other): Some of breath while walking but 2albuterol puffs made it all better

Release 11 — day 28, dose 4

2022-05-05

Symptoms: I smell things that aren't really there. I usually smell food.

Release 11 — day 35, dose 4

2022-05-12

Symptoms: Inability to smell or taste certain foods. It's not everything but happens quite often.

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
SDChills · · ✓
SDDyspnoea · · ✓
SDExposure to SARS-CoV-2 · · ✓
SDFatigue · · ✓
SDHead discomfort · · ✓
SDHeadache · · ✓
SDLacrimation increased · · ✓
SDNight sweats · · ✓
SDOcular discomfort · · ✓
SDParanasal sinus discomfort · · ✓
SDParosmia · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSelf-medication · · ✓
SDSkin burning sensation · · ✓
SDTaste disorder · · ✓
SDUpper-airway cough syndrome · · ✓
SROAbdominal pain ✓ ✓ ✓
SROArthralgia · · ✓
SROChest pain · · ✓
SRODyspnoea · · ✓
SRODyspnoea exertional · · ✓
SROEye pruritus · · ✓
SROFatigue ✓ ✓ ✓
SROFeeling cold · · ✓
SROHeadache · · ✓
SROInfluenza like illness · · ✓
SROMyalgia · · ✓
SRONo adverse event · · ✓
SROPain ✓ ✓ ✓
SROPainful respiration · · ✓
SROPeripheral coldness · · ✓
SROPruritus · · ✓
SROPyrexia ✓ ✓ ✓

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

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