3J2-84623-07099
4 vaccinations
9 coded responses
49 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 992 / WA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
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2021-03-26
Dose 1 — Moderna
- 2021-03-26
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
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2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-02
- 2021-04-09
- 2021-04-18
-
2021-04-21
Dose 2 — Moderna
- 2021-04-21
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Swollen lymph glands in armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, SwellingFree text: Swollen painful lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-29
- 2021-06-02
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2021-07-21
Survey response — 3 months, dose 2MedDRA: Diarrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diarrhea for just over a week. Unsure why, but was tested for Covid 19 - negativeMedDRA releases: 2024-11 · check-in free text available
-
2021-07-21
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-27
-
2021-08-24
Dose 3 — Moderna
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2021-08-26
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Good · Site: Pain, Swelling · Diarrhea · Be unable to work or attend schoolFree text: Rapid heart rateMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-08-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-08-30
- 2021-08-31
- 2021-09-07
- 2021-09-14
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2021-09-21
Survey response — day 28, dose 3MedDRA: Heart rate increased — Feeling: GoodFree text: Every once in a while I feel like my heart is beating fast.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-28
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2021-10-05
Survey response — day 42, dose 3MedDRA: Diarrhoea, Haematochezia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Blood in my stool/ diarrheaMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — 3 months, dose 3MedDRA: Diarrhoea haemorrhagic, Generalised anxiety disorder, Medical counselling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bloody and persistent diarrhea. Generalized Anxiety disorder. Talking to a physician about both. Am not attributing to vaccine unless told otherwise.MedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-02-22
Survey response — 6 months, dose 3MedDRA: Colitis ulcerative, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Diagnosed with ulcerative colitis. Second autoimmune disease for me. Unsure if related to vaccine at all.MedDRA releases: 2024-11 · check-in free text available
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2022-02-22
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-02-23
- 2022-08-26
-
2022-10-19
Dose 4 — Moderna
-
2022-10-21
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2022-10-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body achesAdult check-in
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-17
- 2022-11-23
- 2022-11-30
- 2023-01-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-08-24 | Moderna | No |
| 4 | 2022-10-19 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph glands in armpit
Systemic reaction (other): Swollen painful lymph nodes
Release 9 — 3 months, dose 2
Symptoms: Diarrhea for just over a week. Unsure why, but was tested for Covid 19 - negative
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Rapid heart rate
Release 9 — day 28, dose 3
Symptoms: Every once in a while I feel like my heart is beating fast.
Release 10 — day 42, dose 3
Symptoms: Blood in my stool/ diarrhea
Release 10 — 3 months, dose 3
Symptoms: Bloody and persistent diarrhea. Generalized Anxiety disorder. Talking to a physician about both. Am not attributing to vaccine unless told otherwise.
Release 11 — 6 months, dose 3
Symptoms: Diagnosed with ulcerative colitis. Second autoimmune disease for me. Unsure if related to vaccine at all.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph nodes
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 | Colitis ulcerative | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Diarrhoea haemorrhagic | · | · | ✓ |
| SD | Generalised anxiety disorder | · | · | ✓ |
| SD | Haematochezia | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Heart rate increased | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release