3LZ-16082-73360
3 vaccinations
10 coded responses
31 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 922 / CA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation — Feeling: Good · Site: PainFree text: Odd, sharp, burning sensations in left leg. Never experienced this before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
-
2021-01-30
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
-
2021-02-11
Dose 2 — Moderna
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: CloughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: GoodFree text: Nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
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2021-03-18
Survey response — day 35, dose 2MedDRA: Fatigue, Oropharyngeal pain — Feeling: FairFree text: Yesterday, felt fatigue and sore throat. Fatigue today. On day 5 of ketogenic diet, however.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-05-13
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2021-08-12
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold-like symptoms.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-16
Dose 3 — Moderna
- 2021-11-16
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2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-18
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2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Axillary pain — Feeling: Good · Site: Pain · Joint painsFree text: Odd pain under left armpit. Lymph node? Left elbow joint pain.MedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Axillary pain — Feeling: Good · Joint painsFree text: Continuing odd pain in left armpit. Left elbow joint pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-23
- 2021-11-30
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2021-12-14
Survey response — day 28, dose 3MedDRA: Exposure to SARS-CoV-2, Headache, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: FairFree text: Slight runny nose. Headache. Daughter tested positive for Covid yesterday at her high school. Has cold-like symptoms. She is 17. Has had 2 doses of Pfizer. No booster I have had 3 doses of Moderna. Tested yesterday and results were negative.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-21
- 2021-12-28
- 2022-02-15
- 2022-05-17
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2022-11-16
Survey response — 12 months, dose 3MedDRA: Electric shock sensation, Neurological symptom — Feeling: GoodFree text: Vertigo symptoms. Electric shock feeling up into my head. (Recent)MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Odd, sharp, burning sensations in left leg. Never experienced this before.
Release 3 — day 14, dose 1
Symptoms: Headache
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Clough
Systemic reaction (other): Nasal congestion
Release 5 — day 35, dose 2
Symptoms: Yesterday, felt fatigue and sore throat. Fatigue today. On day 5 of ketogenic diet, however.
Release 9 — 6 months, dose 2
Symptoms: Cold-like symptoms.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Odd pain under left armpit. Lymph node? Left elbow joint pain.
Systemic reaction (other): Continuing odd pain in left armpit. Left elbow joint pain.
Release 10 — day 28, dose 3
Symptoms: Slight runny nose. Headache. Daughter tested positive for Covid yesterday at her high school. Has cold-like symptoms. She is 17. Has had 2 doses of Pfizer. No booster I have had 3 doses of Moderna. Tested yesterday and results were negative.
Release 12 — 12 months, dose 3
Symptoms: Vertigo symptoms. Electric shock feeling up into my head. (Recent)
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 | Electric shock sensation | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Neurological symptom | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release