3K3-25607-90890
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 906 / CA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-08
Registered in v-safe
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2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-08
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-10
- 2021-01-11
-
2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain — Feeling: Fair · Fatigue or tiredness, Abdominal painFree text: Abd pain is on & off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
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2021-02-04
Survey response — day 0, dose 2MedDRA: Somnolence — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Im very sleepy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Somnolence — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I am very sleepy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches · Be unable to workAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
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2021-08-05
Survey response — 6 months, dose 2MedDRA: Headache — Feeling: GoodFree text: I feel that I get headaches frequently now. I usually only get a headache 1-2X/year, but now once a week. I dont know if its related to the vaccine but it is a new Sx Ive had for a few months.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-06
Survey response — 12 months, dose 2MedDRA: COVID-19, Chills, Condition aggravated, Cough, Fatigue, Nausea, Pain, Pain in extremity, Pre-existing disease, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I tested positive for covid on 11/27/2021. Sx: Bad cough, fever up to 102.5*F, extreme tiredness, Nausea, chills, body pain esp in both thighs. (I have Fibromyalgia and it seems covid triggered something in me that made the pain severe.)MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Abd pain is on & off.
Release 3 — day 0, dose 2
Systemic reaction (other): Im very sleepy.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I am very sleepy.
Release 9 — 6 months, dose 2
Symptoms: I feel that I get headaches frequently now. I usually only get a headache 1-2X/year, but now once a week. I dont know if its related to the vaccine but it is a new Sx Ive had for a few months.
Release 11 — 12 months, dose 2
Symptoms: I tested positive for covid on 11/27/2021. Sx: Bad cough, fever up to 102.5*F, extreme tiredness, Nausea, chills, body pain esp in both thighs. (I have Fibromyalgia and it seems covid triggered something in me that made the pain severe.)
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 | Chills | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release