3DJ-89016-58703
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 920 / CA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: The headache feels like I have been clenching my teeth almost. In the temples. The bidy aches got better after soakinf in Epsom salt bath and moving around. They were moderate and became mild as the day went on. I did take motrin for the headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Site: PainFree text: Slight headache still in the templesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-10
Dose 2 — Moderna
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Nasal pruritus, Sneezing — Feeling: GoodFree text: Itchy nose, sneeze a few timesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-19
- 2021-02-24
- 2021-03-19
- 2021-05-14
- 2021-08-13
-
2021-11-04
Dose 3 — Moderna
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Cardiac flutter, Dizziness, Nausea, Palpitations — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Last night, my heart was racing like anxiety and then I got dizzy and nauseous. I drank lots of water and laid down and went to bed early but my heart kept fluttering.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-19
- 2021-12-02
- 2021-12-11
- 2022-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): The headache feels like I have been clenching my teeth almost. In the temples. The bidy aches got better after soakinf in Epsom salt bath and moving around. They were moderate and became mild as the day went on. I did take motrin for the headache.
Systemic reaction (other): Slight headache still in the temples
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Itchy nose, sneeze a few times
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Last night, my heart was racing like anxiety and then I got dizzy and nauseous. I drank lots of water and laid down and went to bed early but my heart kept fluttering.
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 |
|---|---|---|---|---|
| SRO | Cardiac flutter | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nasal pruritus | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release