3AG-18934-05260
4 vaccinations
9 coded responses
54 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 958 / CA
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
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2021-03-10
Dose 1 — Moderna
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2021-03-10
Survey response — day 0, dose 1MedDRA: Burning sensation — Feeling: Good · Site: PainFree text: Mild burning sensation for the first two hours after the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
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2021-04-07
Dose 2 — Moderna
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2021-04-07
Survey response — day 0, dose 2MedDRA: Arthralgia, Injection site reaction, Musculoskeletal stiffness, Pain in extremity — Feeling: Good · Site: Pain, ItchingFree text: Stiff deltoid muscle where I got the injection. More noticeable than pain in that arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to work or attend schoolFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · HeadacheAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
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2021-04-28
Survey response — day 21, dose 2MedDRA: Headache, Oligomenorrhoea, Sinus headache — Feeling: GoodFree text: Two days of headache followed by a day of sinus pressure (4/24-4/26)- most likely caused by seasonal allergies.Period started a couple of days later than usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-07
- 2021-10-06
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2021-12-06
Dose 3 — Moderna
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2021-12-06
Survey response — day 0, dose 3MedDRA: Burning sensation, Injection site pain — Feeling: Good · Site: PainFree text: Burning sensation from the injection site down to my wristMedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body achesAdult check-in
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2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Injection site rash, Injection site swelling, Injection site urticaria — Feeling: Good · Site: Pain, Swelling, ItchingFree text: The swelling around the injection site is slowly going down, but now there's a rash starting around the edge of the swelling. It's not red, though. It's more like hives.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-12
- 2021-12-13
- 2021-12-20
- 2021-12-27
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2022-01-03
Survey response — day 28, dose 3MedDRA: Body temperature increased, Headache, SARS-CoV-2 test negative, Throat irritation — Feeling: GoodFree text: On January 1 I had a headache, scratchy throat, and a low fever (higher than normal temp for me, but still close to 98.6). I did an at home Covid test and the result was negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-10
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2022-01-17
Survey response — day 42, dose 3MedDRA: Headache, Paranasal sinus discomfort, Pre-existing disease — Feeling: GoodFree text: Sinus pressure and headache for two days. (Probably allergies.)MedDRA releases: 2024-11 · check-in free text available
- 2022-03-07
- 2022-06-06
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2022-09-08
Dose 4 — Moderna
- 2022-09-08
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2022-09-09
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
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2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tirednessAdult check-in
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2022-09-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2022-09-12
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2022-09-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Chills, Headache, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-09-14
- 2022-09-17
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
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2022-10-20
Survey response — day 42, dose 4MedDRA: Migraine with aura, Reaction to previous exposure to any vaccine — Feeling: FairFree text: Migraine (first time ever with an aura), but it was four days after my flu vaccine so that might explain it. (The migraine I had after the COVID booster was also at 4 days.)MedDRA releases: 2024-11 · check-in free text available
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-12-06 | Moderna | No |
| 4 | 2022-09-08 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Mild burning sensation for the first two hours after the injection.
Release 7 — day 0, dose 2
Systemic reaction (other): Stiff deltoid muscle where I got the injection. More noticeable than pain in that arm.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia
Release 8 — day 21, dose 2
Symptoms: Two days of headache followed by a day of sinus pressure (4/24-4/26)- most likely caused by seasonal allergies.Period started a couple of days later than usual.
Release 10 — day 0, dose 3
Systemic reaction (other): Burning sensation from the injection site down to my wrist
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The swelling around the injection site is slowly going down, but now there's a rash starting around the edge of the swelling. It's not red, though. It's more like hives.
Release 10 — day 28, dose 3
Symptoms: On January 1 I had a headache, scratchy throat, and a low fever (higher than normal temp for me, but still close to 98.6). I did an at home Covid test and the result was negative.
Release 10 — day 42, dose 3
Symptoms: Sinus pressure and headache for two days. (Probably allergies.)
Release 12 — day 42, dose 4
Symptoms: Migraine (first time ever with an aura), but it was four days after my flu vaccine so that might explain it. (The migraine I had after the COVID booster was also at 4 days.)
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 | Body temperature increased | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine with aura | · | · | ✓ |
| SD | Oligomenorrhoea | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus headache | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ○ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Injection site urticaria | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release