3J3-11103-19483
3 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 112 / NY
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
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2021-04-02
Dose 1 — Moderna
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2021-04-02
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Dental paraesthesia, Pre-existing disease — Feeling: GoodFree text: Last night and into today, Ive had a strange sensation of tingling in my bottom front teeth when I breathe in and out deeply. Ive previously experienced this before getting a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-09
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2021-04-16
Survey response — day 14, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes in my left armpit (the arm I had my shot in) - but nothing too terrible/painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — day 21, dose 1MedDRA: Condition aggravated, Discomfort, Pre-existing disease, Uterine leiomyoma — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have fibroids and they got much more symptomatic last week- a lot of bladder pressure. Not sure if thats related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Dose 2 — Moderna
- 2021-04-30
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-07
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2021-05-14
Survey response — day 14, dose 2MedDRA: Diarrhoea, Eczema — Feeling: GoodFree text: Diarrhea for the past 4 days, but dont think its related. Also have had some eczema patches pop up. Again- probably not related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-23
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2021-05-28
Survey response — day 28, dose 2MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: GoodFree text: My period has come a week early despite me being on birth control. Its really heavy as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Survey response — day 35, dose 2MedDRA: Oligomenorrhoea — Feeling: GoodFree text: Ive had my period for over a weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-12
- 2021-08-01
- 2021-10-29
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2021-12-03
Dose 3 — Moderna
- 2022-04-30
- 2022-06-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Last night and into today, Ive had a strange sensation of tingling in my bottom front teeth when I breathe in and out deeply. Ive previously experienced this before getting a cold.
Release 7 — day 14, dose 1
Symptoms: Swollen lymph nodes in my left armpit (the arm I had my shot in) - but nothing too terrible/painful
Release 7 — day 21, dose 1
Symptoms: I have fibroids and they got much more symptomatic last week- a lot of bladder pressure. Not sure if thats related to the vaccine.
Release 8 — day 14, dose 2
Symptoms: Diarrhea for the past 4 days, but dont think its related. Also have had some eczema patches pop up. Again- probably not related.
Release 8 — day 28, dose 2
Symptoms: My period has come a week early despite me being on birth control. Its really heavy as well.
Release 8 — day 35, dose 2
Symptoms: Ive had my period for over a week
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 | Condition aggravated | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Eczema | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Oligomenorrhoea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Uterine leiomyoma | ○ | ✓ | ○ |
| SRO | Dental paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release