3KQ-30862-21695
3 vaccinations
2 coded responses
19 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 900 / CA
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Moderna
-
2021-03-07
Registered in v-safe
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Contusion, Joint range of motion decreased, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: My arm is very sore. Can't lift at all and bruisedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-13
- 2021-03-20
-
2021-04-03
Dose 2 — Moderna
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-06
- 2021-04-08
- 2021-04-12
- 2021-04-17
- 2021-04-26
- 2021-05-02
- 2021-07-04
- 2021-10-04
-
2022-04-09
Dose 3 — Moderna
- 2022-05-02
- 2022-05-07
- 2022-05-22
-
2022-07-10
Survey response — 3 months, dose 3MedDRA: COVID-19, Fatigue, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend schoolFree text: Got CoVid. Sore throat, sneeze, runny nose, fatigueMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna | |
| 3 | 2022-04-09 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My arm is very sore. Can't lift at all and bruised
Release 12 — 3 months, dose 3
Symptoms: Got CoVid. Sore throat, sneeze, runny nose, fatigue
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release