3D9-11096-63621
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 935 / CA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Registered in v-safe
-
2021-04-08
Dose 1 — Moderna
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-15
-
2021-04-24
Survey response — day 14, dose 1MedDRA: Fatigue, Headache — Feeling: FairFree text: Headaches daily and Covid like fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
-
2021-05-06
Dose 2 — Moderna
- 2021-05-06
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-10
-
2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Urinary tract infection — Feeling: GoodFree text: UtiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-15
- 2021-05-20
-
2021-05-27
Survey response — day 21, dose 2MedDRA: Parosmia — Feeling: GoodFree text: Continuing to experience phantom odoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-03
Survey response — day 28, dose 2MedDRA: Food aversion, Nausea, Parosmia — Feeling: GoodFree text: Phantom smell is not going away. Sometimes it nauseates me or makes food unpalatable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
- 2021-06-17
-
2021-08-07
Survey response — 3 months, dose 2MedDRA: Asthma, Bronchitis, Pre-existing disease, Productive cough — Feeling: Poor · Be unable to work or attend schoolFree text: Asthma symptoms requiring nebulizer treatments. Bronchitis requiring prednisone and antibiotics. Productive cough with difficulty clearing mucous. No fever.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-04
Survey response — 6 months, dose 2MedDRA: Anosmia, Balance disorder, Dizziness postural, Dysphagia, Taste disorder — Feeling: FairFree text: Loss of balance, difficulty swallowing, dizzy when getting up or back to sit. Loss of smells, altered tasteMedDRA releases: 2024-11 · check-in free text available
- 2022-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-06 | Moderna |
Free text
Release 7 — day 14, dose 1
Symptoms: Headaches daily and Covid like fatigue.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Uti
Release 8 — day 21, dose 2
Symptoms: Continuing to experience phantom odo
Release 8 — day 28, dose 2
Symptoms: Phantom smell is not going away. Sometimes it nauseates me or makes food unpalatable.
Release 9 — 3 months, dose 2
Symptoms: Asthma symptoms requiring nebulizer treatments. Bronchitis requiring prednisone and antibiotics. Productive cough with difficulty clearing mucous. No fever.
Release 10 — 6 months, dose 2
Symptoms: Loss of balance, difficulty swallowing, dizzy when getting up or back to sit. Loss of smells, altered taste
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 | Anosmia | · | · | ✓ |
| SD | Asthma | ✓ | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Bronchitis | ✓ | · | ✓ |
| SD | Dizziness postural | · | · | ✓ |
| SD | Dysphagia | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Food aversion | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Parosmia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SRO | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release