3EV-65073-15275
4 vaccinations
8 coded responses
52 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 200 / DC
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Moderna
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-04-26
Dose 2 — Moderna
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis, Night sweats, Sleep disorder — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: I woke up in the middle of the night sweating. I didn't have a fever (only read 98.1, but I usually run around 97.7), but I was just sweating for hours in the middle of the night. I tried drinking water and putting on an ice pack, and eventually took a cold shower.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-26
- 2021-10-25
-
2021-11-05
Dose 3 — Moderna
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Feeling cold — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very cold but not chills.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Feeling hot — Feeling: Good · Site: Pain · Fever · HeadacheFree text: My armpit hurts in the arm in which I got the injection. While I didn't have a fever last night, I was unbearably hot and had to put on a fan and put an ice pack on my head and open the windows to cool down.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Heavy menstrual bleeding — Feeling: GoodFree text: I have my period at the moment, and it is substantially heavier than normal. Not sure if it's at all related to the vaccine but thought I would report for data collection purposes.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
-
2021-12-10
Survey response — day 35, dose 3MedDRA: Chest discomfort, Productive cough — Feeling: FairFree text: Cough with sputum, chest tightness when taking deep breath.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-17
- 2022-02-04
-
2022-04-18
Dose 4 — Moderna
- 2022-04-18
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-04-20
-
2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising, Injection site discolouration — Feeling: Good · Site: SwellingFree text: Bruising at injection site (black and blue)MedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Bruising at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-07-18
- 2022-10-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I woke up in the middle of the night sweating. I didn't have a fever (only read 98.1, but I usually run around 97.7), but I was just sweating for hours in the middle of the night. I tried drinking water and putting on an ice pack, and eventually took a cold shower.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Very cold but not chills.
Systemic reaction (other): My armpit hurts in the arm in which I got the injection. While I didn't have a fever last night, I was unbearably hot and had to put on a fan and put an ice pack on my head and open the windows to cool down.
Systemic reaction (other): I have my period at the moment, and it is substantially heavier than normal. Not sure if it's at all related to the vaccine but thought I would report for data collection purposes.
Release 10 — day 35, dose 3
Symptoms: Cough with sputum, chest tightness when taking deep breath.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Bruising at injection site (black and blue)
Systemic reaction (other): Bruising at injection site
Systemic reaction (other): Bruising at injection site
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 | Chest discomfort | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Heavy menstrual bleeding | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site discolouration | · | · | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release