38X-23776-16204
2 vaccinations
8 coded responses
24 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 331 / FL
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
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2021-04-05
Survey response — day 14, dose 1MedDRA: Abdominal distension, Burning sensation, Diarrhoea, Headache, Mammogram abnormal, Pleurisy, Self-medication — Feeling: PoorFree text: Since day seven I had breast thickness including abdominal thickness, also a sunburn feeling from the back of the neck to hips including shoulders and waist. Diarrea and mild headaches. Now I am having pleurisy. Since day 8 to know taking ibuprofen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
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2021-04-19
Dose 2 — Moderna
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal painFree text: Numbness on legs and arms this is occurring several moments on the day after the second vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Asthma, Productive cough — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal painFree text: Asthma, expectorationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Pleurisy, Pre-existing disease — Feeling: GoodFree text: Asthma , pleurisyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Asthma, Pallor — Feeling: Fair · Chills, HeadacheFree text: Asthma and paleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
- 2021-05-10
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2021-05-17
Survey response — day 28, dose 2MedDRA: Asthma — Feeling: GoodFree text: Asthma for various daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Survey response — day 35, dose 2MedDRA: Pleurisy — Feeling: GoodFree text: PleurisyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Survey response — day 42, dose 2MedDRA: Rash — Feeling: GoodFree text: A rush started 3 weeks ago and its getting worse .. ankles and butt.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-21
- 2021-10-18
- 2022-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Free text
Release 6 — day 14, dose 1
Symptoms: Since day seven I had breast thickness including abdominal thickness, also a sunburn feeling from the back of the neck to hips including shoulders and waist. Diarrea and mild headaches. Now I am having pleurisy. Since day 8 to know taking ibuprofen. cut off by CDC
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Numbness on legs and arms this is occurring several moments on the day after the second vaccine
Systemic reaction (other): Asthma, expectoration
Systemic reaction (other): Asthma , pleurisy
Systemic reaction (other): Asthma and pale
Release 8 — day 28, dose 2
Symptoms: Asthma for various days
Release 8 — day 35, dose 2
Symptoms: Pleurisy
Release 8 — day 42, dose 2
Symptoms: A rush started 3 weeks ago and its getting worse .. ankles and butt.
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 |
|---|---|---|---|---|
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Mammogram abnormal | ✓ | ✓ | ✓ |
| SD | Pleurisy | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Pallor | ✓ | ✓ | ✓ |
| SRO | Pleurisy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release