3DC-29265-22929
3 vaccinations
4 coded responses
18 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 968 / HI
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
QS2-31399-13421
Child or adolescent in my care · Female · 2022-06-23
Timeline
-
2021-01-05
Dose 1 — Moderna
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2021-01-06
Registered in v-safe
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2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Pain, Pruritus, Self-medication, Swelling face — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: My L jaw was itchy and is a little swollen. Had muscle ache radiating from L side to SCM/L jaw last night which resolved with ibuprofen but today with itching and swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
- 2021-01-08
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Worked out on PM assuming AEs were gone but now LUE muscles are much more sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
-
2021-01-12
Survey response — day 7, dose 1MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Continued worse aching/muscle recovery after work out L>RMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-26
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2021-02-02
Dose 2 — Moderna
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-04
- 2021-08-03
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2022-02-02
Survey response — 12 months, dose 2MedDRA: Cough, Influenza virus test negative, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Bad virus that took down everyone in the house, 5 out of 5 got it. And we had sore throat, rhinorrhea and cough. 2 oldest F had body aches and fever rest just had the previous symptoms but lasted approx 10d with peak on day 4-7. COVID, RSV, flu NEGMedDRA releases: 2024-11 · check-in free text available
-
2023-01-21
Dose 3 — ModernaCo-administered: Tetanus
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2023-01-21 | Moderna | Tetanus |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): My L jaw was itchy and is a little swollen. Had muscle ache radiating from L side to SCM/L jaw last night which resolved with ibuprofen but today with itching and swelling.
Systemic reaction (other): Worked out on PM assuming AEs were gone but now LUE muscles are much more sore.
Release 1 — day 7, dose 1
Systemic reaction (other): Continued worse aching/muscle recovery after work out L>R
Release 11 — 12 months, dose 2
Symptoms: Bad virus that took down everyone in the house, 5 out of 5 got it. And we had sore throat, rhinorrhea and cough. 2 oldest F had body aches and fever rest just had the previous symptoms but lasted approx 10d with peak on day 4-7. COVID, RSV, flu NEG cut off by CDC
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 | Cough | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release