3J8-33118-03233
4 vaccinations
9 coded responses
31 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 919 / CA
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-01-31
Registered in v-safe
- 2021-01-31
- 2021-02-06
- 2021-02-13
- 2021-02-20
-
2021-02-24
Dose 2 — Moderna
-
2021-02-24
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Low appetite at lunch and dinner, even though I walked 5.37 miles today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling — Feeling: Good · Site: Redness, SwellingFree text: The swelling migrated to below the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-08-25
-
2021-10-23
Dose 3 — Moderna
- 2021-10-23
-
2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain, Bowel movement irregularity, Fatigue, Gastrointestinal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: The abdominal pain is lower intestinal cramps followed by the need to defficate small amounts 30 -40 minutes apart in the before dawn hours. By 7 A.M. those symptoms stopped. The fatigue ended about 24 hours following the Moderna booster vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tirednessFree text: less appetite for 3 days, including day of the booster vaccination. I forgot to report that till now.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Myalgia — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: 1Cough at night 2.muscle pain in abs (abdominal muscles)MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: low appetiteMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-30
Health check-in — day 7, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
-
2022-03-30
Dose 4 — Moderna
- 2022-04-14
-
2022-04-20
Survey response — day 21, dose 4MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose, clearMedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
- 2022-05-04
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-03-30 | Moderna | No |
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): No
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Low appetite at lunch and dinner, even though I walked 5.37 miles today.
Systemic reaction (other): The swelling migrated to below the injection site.
Systemic reaction (other): itching
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The abdominal pain is lower intestinal cramps followed by the need to defficate small amounts 30 -40 minutes apart in the before dawn hours. By 7 A.M. those symptoms stopped. The fatigue ended about 24 hours following the Moderna booster vaccine.
Systemic reaction (other): less appetite for 3 days, including day of the booster vaccination. I forgot to report that till now.
Systemic reaction (other): 1Cough at night 2.muscle pain in abs (abdominal muscles)
Systemic reaction (other): low appetite
Release 11 — day 21, dose 4
Symptoms: Runny nose, clear
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 | Rhinorrhoea | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Bowel movement irregularity | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Gastrointestinal pain | · | · | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release