3G4-37862-64568
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 906 / CA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-15
Dose 1 — Moderna
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2021-03-16
Registered in v-safe
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Immediate post-injection reaction, Palatal swelling — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mild swelling in the roof of my mouth. More significant 35 minutes after injection. Very mild this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-22
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2021-03-29
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Increased itching at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
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2021-04-12
Dose 2 — Moderna
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2021-04-12
Survey response — day 0, dose 2MedDRA: Chest discomfort, Palatal swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swelling on the roof of my mouth (mild), mild chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I should note that my regular body temperature before the shot was 96.2°F to 96.6°, so yesterday my 101° fever was high for me. Today its better at 99°FMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My base body temperature is 96.2° to 96.6°F, so a temperature of 98.9° is a fever for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event, Unevaluable event — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: My normal body temp is mid 96°MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-18
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-12
- 2021-10-13
- 2022-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Mild swelling in the roof of my mouth. More significant 35 minutes after injection. Very mild this morning.
Release 6 — day 14, dose 1
Symptoms: Increased itching at injection site.
Release 7 — day 0, dose 2
Systemic reaction (other): Swelling on the roof of my mouth (mild), mild chest tightness
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I should note that my regular body temperature before the shot was 96.2°F to 96.6°, so yesterday my 101° fever was high for me. Today its better at 99°F
Systemic reaction (other): My base body temperature is 96.2° to 96.6°F, so a temperature of 98.9° is a fever for me
Systemic reaction (other): My normal body temp is mid 96°
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 | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | No adverse event | ○ | ✓ | ○ |
| SRO | Palatal swelling | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release