3LM-23891-05418
3 vaccinations
8 coded responses
20 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 336 / FL
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
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2021-01-14
Dose 1 — Moderna
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Headache, Muscle or body aches, DiarrheaAdult check-in
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2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Chills, Headache, Muscle or body aches, Diarrhea, Abdominal painAdult check-in
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2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
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2021-01-21
Health check-in — day 7, dose 1Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-01-30
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2021-02-06
Survey response — day 21, dose 1MedDRA: Headache, Myalgia, Throat irritation — Feeling: FairFree text: Muscle aches and headaches throat irritationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
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2021-02-18
Dose 2 — Moderna
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-25
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2021-03-04
Survey response — day 14, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: ColdsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
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2021-03-18
Survey response — day 28, dose 2MedDRA: Chills — Feeling: Fair · Be unable to do your normal daily activitiesFree text: ChillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 35, dose 2MedDRA: Cough — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough it feels theres something holding my throat inside . I do not have AllergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-03
Survey response — day 42, dose 2MedDRA: Throat clearing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I always have to clear my throat it feels theres something in my throat all day . I drink water have some halls anything Its like when you have allergies but I never had allergies in my life . Im thinking of taking loratadine to stop itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
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2021-08-19
Survey response — 6 months, dose 2MedDRA: Dyspnoea, Sleep apnoea syndrome — Feeling: GoodFree text: I get Short of breath but no telling coz I was just dx with sleep apnea recentlyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-12-01
Dose 3 — Moderna
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2022-01-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-02-20
Survey response — 12 months, dose 2MedDRA: Influenza like illness — Feeling: GoodFree text: Flu like symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-03-04
- 2022-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — day 21, dose 1
Symptoms: Muscle aches and headaches throat irritation
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): None
Release 5 — day 14, dose 2
Symptoms: Colds
Release 5 — day 28, dose 2
Symptoms: Chills
Release 6 — day 35, dose 2
Symptoms: Cough it feels theres something holding my throat inside . I do not have Allergies
Release 6 — day 42, dose 2
Symptoms: I always have to clear my throat it feels theres something in my throat all day . I drink water have some halls anything Its like when you have allergies but I never had allergies in my life . Im thinking of taking loratadine to stop it
Release 9 — 6 months, dose 2
Symptoms: I get Short of breath but no telling coz I was just dx with sleep apnea recently
Release 11 — 12 months, dose 2
Symptoms: Flu like symptoms
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 | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Sleep apnoea syndrome | ✓ | · | ✓ |
| SD | Throat clearing | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release