3FN-67951-71913
4 vaccinations
5 coded responses
15 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 950 / CA
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Moderna
-
2021-04-19
Registered in v-safe
-
2021-04-19
Survey response — day 21, dose 1MedDRA: Dizziness, Fatigue, Headache, Myalgia, Vertigo, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: On day 10 after the vaccination I experienced sever vertigo and vomiting. It diminished day 11 and went away on day 12. I no longer have dizziness, but am still feeling fatigued sore muscles for no reason, and a few days of headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
-
2021-04-29
Dose 2 — Moderna
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-04
- 2021-05-05
-
2021-05-20
Survey response — day 21, dose 2MedDRA: Cough, Diarrhoea, Fatigue, Headache, Pain, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I had headaches, body aches, strong fatigue, diarrhea, low grade fever and slight cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
-
2021-06-05
Survey response — day 35, dose 2MedDRA: Dizziness, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizziness, nausea, headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
-
2021-07-29
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Diarrhoea, Gastrointestinal disorder, Gastrooesophageal reflux disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Digestive problems including acid reflux, stomach pain, diarrhea.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-28
-
2021-11-11
Dose 3 — Moderna
-
2022-04-02
Dose 4 — Moderna
-
2022-04-03
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Nasal congestion — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stuffy nose, light, dry coughMedDRA releases: 2024-11 · check-in free text available
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2022-04-04
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-04-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
-
2022-04-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
Free text
Release 7 — day 21, dose 1
Symptoms: On day 10 after the vaccination I experienced sever vertigo and vomiting. It diminished day 11 and went away on day 12. I no longer have dizziness, but am still feeling fatigued sore muscles for no reason, and a few days of headaches.
Release 8 — day 21, dose 2
Symptoms: I had headaches, body aches, strong fatigue, diarrhea, low grade fever and slight cough.
Release 8 — day 35, dose 2
Symptoms: Dizziness, nausea, headaches.
Release 9 — 3 months, dose 2
Symptoms: Digestive problems including acid reflux, stomach pain, diarrhea.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Stuffy nose, light, dry cough
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 | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | ✓ | · | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release