3KU-29463-13484
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 967 / HI
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 1 — Moderna
-
2021-03-06
Survey response — day 0, dose 1MedDRA: Headache, Immediate post-injection reaction, Pain — Feeling: Good · Site: Pain · HeadacheFree text: Took the vaccine shot about 10 hours ago and I am just now starting to get a mild headache. Very mild pain when lifting arm that got vaccinated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain — Feeling: Good · Abdominal painFree text: Abdominal pain that went away after about an hour. That was it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-04-03
Dose 2 — Moderna
- 2021-04-03
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Neck pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesFree text: I currently have a mild sore back(lower) and mild sore neck(right) but day after my 2nd dose and it feels just a little more aggravated. Still bearable at Mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Neck pain, Pain, Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body achesFree text: Previous neck and lower back pain aggravated a little.Still MildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-04-08
- 2021-04-09
- 2021-04-11
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-07-03
- 2021-10-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Took the vaccine shot about 10 hours ago and I am just now starting to get a mild headache. Very mild pain when lifting arm that got vaccinated.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Abdominal pain that went away after about an hour. That was it.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I currently have a mild sore back(lower) and mild sore neck(right) but day after my 2nd dose and it feels just a little more aggravated. Still bearable at Mild.
Systemic reaction (other): Previous neck and lower back pain aggravated a little.Still Mild
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 |
|---|---|---|---|---|
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release