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3EN-40600-01693

2 vaccinations 5 coded responses 15 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
930 / CA
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Dose 1 — Moderna
  2. 2021-03-16
    Registered in v-safe
  3. 2021-03-16
    Dose 2 — Moderna
  4. 2021-03-16
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  6. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tiredness
    Free text: Not a good appetite. Sometimes, I think I have a little headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Abdominal pain — Feeling: Fair · Abdominal pain
    Free text: I feel like my stomach is in my throat. Also, the mild abdominal pain I've had for several days. I didn't report it because it's off and on and I thought it was something else.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: Feel more normal today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-23
    Survey response — day 7, dose 2
    MedDRA: Hyperhidrosis, Middle insomnia — Feeling: Good
    Free text: Everyday since Ive had the shot, Ive experienced waking up in the middle of the night just drenched with sweat. I cool down and then wake up in the morning drenched again. I dont experience this during the day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-20
    Survey response — day 35, dose 2
    MedDRA: Abdominal distension, Nausea — Feeling: Good
    Free text: Im not sure if its the vaccine but I become very bloated sometimes. Just for a moment I feel like Im going to throw up, sometimes. The stomach inflammatory feeling has lessened but I seem to fill up fast as though my food is at my throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-03-17
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-16Moderna

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Not a good appetite. Sometimes, I think I have a little headache.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): I feel like my stomach is in my throat. Also, the mild abdominal pain I've had for several days. I didn't report it because it's off and on and I thought it was something else.

2021-03-21

Systemic reaction (other): Feel more normal today.

Release 6 — day 7, dose 2

2021-03-23

Systemic reaction (other): Everyday since Ive had the shot, Ive experienced waking up in the middle of the night just drenched with sweat. I cool down and then wake up in the morning drenched again. I dont experience this during the day.

Release 7 — day 35, dose 2

2021-04-20

Symptoms: Im not sure if its the vaccine but I become very bloated sometimes. Just for a moment I feel like Im going to throw up, sometimes. The stomach inflammatory feeling has lessened but I seem to fill up fast as though my food is at my throat.

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
SDAbdominal distension ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SROAbdominal discomfort ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROMiddle insomnia ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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