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3EH-18423-68324

3 vaccinations 8 coded responses 40 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
064 / CT
Registered
2021-04-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-13
    Registered in v-safe
  2. 2021-04-13
    Dose 1 — Moderna
  3. 2021-04-13
    Survey response — day 0, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Abdominal pain
    Free text: I'm on my second day of my period today, so I do feel very mild abdominal pain, but that's just menstrual pain, nothing to do with the vaccine or any illness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Itching · Muscle or body aches
    Adult check-in
  5. 2021-04-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Headache, Musculoskeletal stiffness, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches
    Free text: I'm pretty sure the only reason I had a headache and joint pain was because of how little I moved my arm yesterday. I normally stretch my arms and shoulders very frequently so not being able to do so as much made me feel stiff.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-11
    Dose 2 — Moderna
  14. 2021-05-11
    Survey response — day 0, dose 2
    MedDRA: Abdominal pain — Feeling: Good · Abdominal pain
    Free text: The abdominal pain started the other day, it's not caused by the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Headache, Malaise — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches
    Free text: The best way I can describe it is overall yucky. The headache isnt bad its just like my whole head and my mid-lower back have been ache-y
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  17. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  19. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-18
    Survey response — day 7, dose 2
    MedDRA: Foot fracture — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I broke my toe yesterday... Otherwise I'm doing great
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-01
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-06-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-03
    Dose 3 — Moderna
  30. 2021-12-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chills — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: The chills were very brief and I haven't felt many significant temperature sensitivity.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction, Injection site pain, Injection site swelling, Self-medication — Feeling: Fair · Site: Pain, Swelling
    Free text: Yesterday after I sent in the report, the symptoms worsened. Though they went away almost entirely (with the exception of pain and swelling around the injection area) with generic excedrin.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches
    Adult check-in
  33. 2021-12-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches
    Free text: The body aches that I feel are due to my period.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Swelling · None
    Adult check-in
  35. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-31
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-03-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-06-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-12-03
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-11Moderna
32021-12-03Moderna No

Free text

Release 7 — day 0, dose 1

2021-04-13

Systemic reaction (other): I'm on my second day of my period today, so I do feel very mild abdominal pain, but that's just menstrual pain, nothing to do with the vaccine or any illness.

Release 7 — days 1–6 daily, dose 1

2021-04-15

Systemic reaction (other): I'm pretty sure the only reason I had a headache and joint pain was because of how little I moved my arm yesterday. I normally stretch my arms and shoulders very frequently so not being able to do so as much made me feel stiff.

Release 8 — day 0, dose 2

2021-05-11

Systemic reaction (other): The abdominal pain started the other day, it's not caused by the vaccine

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): The best way I can describe it is overall yucky. The headache isnt bad its just like my whole head and my mid-lower back have been ache-y

Release 8 — day 7, dose 2

2021-05-18

Systemic reaction (other): I broke my toe yesterday... Otherwise I'm doing great

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): The chills were very brief and I haven't felt many significant temperature sensitivity.

2021-12-05

Systemic reaction (other): Yesterday after I sent in the report, the symptoms worsened. Though they went away almost entirely (with the exception of pain and swelling around the injection area) with generic excedrin.

2021-12-07

Systemic reaction (other): The body aches that I feel are due to my period.

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

FieldPreferred term2021-092023-042024-11
SROAbdominal pain ✓ ✓ ✓
SROAdverse reaction · · ✓
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROChills · · ✓
SROFoot fracture ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain · · ✓
SROInjection site swelling · · ✓
SROMalaise ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSelf-medication · · ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release