3P4-12328-52315
2 vaccinations
7 coded responses
23 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 857 / AZ
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Nausea, Vomiting — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness, NauseaFree text: I was vomiting last night and I feel nausea todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: GoodFree text: No I feel good I dont feel nothing just yesterday and when I took the vaccine not right away but around 6 hours laterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: No I feel great I dont feel any symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
-
2021-02-12
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Be unable to workFree text: Any so farMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Nausea, DiarrheaAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
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2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
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2021-03-26
Survey response — day 42, dose 2MedDRA: Fatigue, Pain in extremity — Feeling: FairFree text: I feel tired and I have pain in the left side of my leg starting from my Pompey and going downMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — 3 months, dose 2MedDRA: Contusion — Feeling: GoodFree text: Bruises on my bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-15
Survey response — 6 months, dose 2MedDRA: Abdominal discomfort, Asthenia, Diarrhoea, Fatigue, Hot flush, Vomiting — Feeling: Fair · Be unable to work or attend schoolFree text: Hot flushes upset stomach diarrhea often tiredness sometimes vomiting lost strength on my armsMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I was vomiting last night and I feel nausea today
Systemic reaction (other): No I feel good I dont feel nothing just yesterday and when I took the vaccine not right away but around 6 hours later
Systemic reaction (other): No I feel great I dont feel any symptoms
Release 4 — day 0, dose 2
Systemic reaction (other): Any so far
Release 6 — day 42, dose 2
Symptoms: I feel tired and I have pain in the left side of my leg starting from my Pompey and going down
Release 8 — 3 months, dose 2
Symptoms: Bruises on my body
Release 9 — 6 months, dose 2
Symptoms: Hot flushes upset stomach diarrhea often tiredness sometimes vomiting lost strength on my arms
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 discomfort | ✓ | · | ✓ |
| SD | Asthenia | ✓ | · | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hot flush | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release