3MN-23385-39735
2 vaccinations
7 coded responses
19 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 450 / OH
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
- 2021-02-04
-
2021-02-11
Survey response — day 14, dose 1MedDRA: Cutaneous symptom, Erythema, Feeling hot, Injection site reaction, Joint warmth, Skin swelling, Urticaria — Feeling: GoodFree text: Histamine-release at site on arm. Red and warm area on arm. Raised skin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-02-25
Dose 2 — Moderna
-
2021-02-25
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tirednessAdult check-in
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Mechanical urticaria, Nightmare — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Dermographia; very vocal nightmaresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Nightmare — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, NauseaFree text: Bad nightmares night before lastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · HeadacheAdult check-in
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: The abdominal pain was cramping, like when you need to have a bowel movement; however, I had voided this morning and had very little to eat since then.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
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2021-03-12
Survey response — day 14, dose 2MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Increased headaches with seemingly no reason for them.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
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2021-03-25
Survey response — day 28, dose 2MedDRA: Myalgia — Feeling: Fair · Be unable to workFree text: More aches in my muscles on the right side of my body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
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2021-04-10
Survey response — day 42, dose 2MedDRA: Abdominal pain upper, Chills, Cough, Decreased appetite, Diarrhoea, Hyperhidrosis, Hypersensitivity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I think I have a flu bug. I have diarrhea and stomach ache. More coughing that is probably due to Spring allergies. Less appetite last evening. Didnt seem to have a fever but some chills and sweating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-08-26
- 2022-02-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Free text
Release 4 — day 14, dose 1
Symptoms: Histamine-release at site on arm. Red and warm area on arm. Raised skin.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dermographia; very vocal nightmares
Systemic reaction (other): Bad nightmares night before last
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The abdominal pain was cramping, like when you need to have a bowel movement; however, I had voided this morning and had very little to eat since then.
Release 5 — day 14, dose 2
Symptoms: Increased headaches with seemingly no reason for them.
Release 6 — day 28, dose 2
Symptoms: More aches in my muscles on the right side of my body.
Release 7 — day 42, dose 2
Symptoms: I think I have a flu bug. I have diarrhea and stomach ache. More coughing that is probably due to Spring allergies. Less appetite last evening. Didnt seem to have a fever but some chills and sweating.
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Cutaneous symptom | ○ | ✓ | ○ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | · | ✓ |
| SD | Joint warmth | ○ | ✓ | ○ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Skin swelling | ✓ | · | ✓ |
| SD | Urticaria | ○ | ✓ | ○ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Mechanical urticaria | ✓ | ✓ | ✓ |
| SRO | Nightmare | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release