3UW-14536-35047
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 853 / AZ
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
-
2021-03-15
Survey response — day 0, dose 1MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Dizzy ness that lasted about 5 minutes after the shot was administeredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort, Chest discomfort, Musculoskeletal discomfort — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Had some chest pressure/discomfort yesterday evening. Had some discomfort underneath my belly button which was odd and has never happened. It lasted for about an hour on and off. Have also had some slight discomfort at my neck but it is on and off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Headache, Muscle or body aches, NauseaAdult check-in
-
2021-03-22
Survey response — day 7, dose 1MedDRA: Axillary pain, Musculoskeletal discomfort — Feeling: Fair · Site: Pain · HeadacheFree text: Pain underneath left armpit. Discomfort around neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
-
2021-04-13
Dose 2 — Moderna
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body achesAdult check-in
-
2021-04-22
Survey response — day 7, dose 2MedDRA: Discomfort — Feeling: FairFree text: Left underarm discomfort from first shot received.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Dizzy ness that lasted about 5 minutes after the shot was administered
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Had some chest pressure/discomfort yesterday evening. Had some discomfort underneath my belly button which was odd and has never happened. It lasted for about an hour on and off. Have also had some slight discomfort at my neck but it is on and off.
Release 6 — day 7, dose 1
Systemic reaction (other): Pain underneath left armpit. Discomfort around neck.
Release 7 — day 7, dose 2
Systemic reaction (other): Left underarm discomfort from first shot received.
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 discomfort | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release