3EH-10441-40664
5 vaccinations
11 coded responses
50 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 284 / NC
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Paranasal sinus discomfort — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: I have felt really tired and have what I was call a headache with sinus pressure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Arm that I got the injection in is still sore, but improving every day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
-
2021-02-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-09
- 2021-02-10
-
2021-02-17
Survey response — day 14, dose 1MedDRA: Rash, Rash papular, Rash pruritic — Feeling: GoodFree text: I have developed a rash on my legs from my ankle to my groin. It developed over a few days. It is slightly itchy in places, but it is mostly a flat rash but in some areas it has begun to raise and seem a little puffy. Not sure if vaccine relateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
-
2021-03-02
Dose 2 — Moderna
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-06-01
Survey response — 3 months, dose 2MedDRA: Nausea, Vomiting — Feeling: FairFree text: I have had a couple weeks of bouts of nausea that come and go and is not usual for me. Not to the point of vomiting - until last evening when after finishing my meal, 10 minutes later lost it all. Not blaming vaccine, but isnt normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-31
-
2021-10-29
Dose 3 — Moderna
- 2021-11-01
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
-
2021-11-06
Survey response — day 7, dose 3MedDRA: Diarrhoea — Feeling: Fair · Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Have no idea where those symptoms came from. Diarrhea is very unusual for meMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-19
-
2021-11-26
Survey response — day 28, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-10
- 2022-01-28
- 2022-05-01
-
2022-05-23
Dose 4 — Moderna
-
2022-10-09
Dose 5 — ModernaCo-administered: Flu
-
2022-10-09
Survey response — day 0, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
-
2022-10-11
Survey response — days 1–6 daily, dose 5MedDRA: Pain in extremity — Feeling: GoodFree text: Arms are still a little sore.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-12
-
2022-10-13
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-15
- 2022-10-16
-
2022-10-23
Survey response — day 14, dose 5MedDRA: Abdominal pain upper, Diarrhoea, Food intolerance, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Having a series of diarrhea, nausea, stomach pain, inability to eat or drink anything without vomiting, for the last 24 hours. I honestly don't connect it to my vaccine, as I have never had any problems with all the previous vaccines.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
- 2022-11-06
- 2022-11-13
- 2022-11-20
- 2023-01-08
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-23 | Moderna | No |
| 5 | 2022-10-09 | Moderna | Flu |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I have felt really tired and have what I was call a headache with sinus pressure.
Systemic reaction (other): Arm that I got the injection in is still sore, but improving every day.
Release 4 — day 14, dose 1
Symptoms: I have developed a rash on my legs from my ankle to my groin. It developed over a few days. It is slightly itchy in places, but it is mostly a flat rash but in some areas it has begun to raise and seem a little puffy. Not sure if vaccine relate
Release 8 — 3 months, dose 2
Symptoms: I have had a couple weeks of bouts of nausea that come and go and is not usual for me. Not to the point of vomiting - until last evening when after finishing my meal, 10 minutes later lost it all. Not blaming vaccine, but isnt normal.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No
Release 10 — day 7, dose 3
Systemic reaction (other): Have no idea where those symptoms came from. Diarrhea is very unusual for me
Release 10 — day 28, dose 3
Symptoms: Sore throat
Release 12 — day 0, dose 5
Systemic reaction (other): No
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Arms are still a little sore.
Systemic reaction (other): No
Release 12 — day 14, dose 5
Symptoms: Having a series of diarrhea, nausea, stomach pain, inability to eat or drink anything without vomiting, for the last 24 hours. I honestly don't connect it to my vaccine, as I have never had any problems with all the previous vaccines.
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 pain upper | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Food intolerance | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release