3X4-30404-49016
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 303 / GA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
-
2021-01-16
Survey response — day 0, dose 1MedDRA: Hypoaesthesia, Immediate post-injection reaction — Feeling: Good · Site: Pain · NauseaFree text: Right after I received shot in my right arm, my right hand felt a little numbMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: My sinuses were a little more active than they have been.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-30
- 2021-02-06
-
2021-02-13
Dose 2 — Moderna
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
-
2021-02-22
Survey response — day 7, dose 2MedDRA: Abdominal pain — Feeling: Good · Abdominal painFree text: I didnt check in on Saturday but I did experience some abdominal pain on Saturday which I believe was unrelated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — day 14, dose 2MedDRA: Abdominal pain upper — Feeling: GoodFree text: I have experienced some stomachs aches that are not typical for me since receiving the second shot. It could be unrelated but thought it was worth reporting. I feel finer today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2022-02-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Right after I received shot in my right arm, my right hand felt a little numb
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): My sinuses were a little more active than they have been.
Release 4 — day 7, dose 2
Systemic reaction (other): I didnt check in on Saturday but I did experience some abdominal pain on Saturday which I believe was unrelated.
Release 4 — day 14, dose 2
Symptoms: I have experienced some stomachs aches that are not typical for me since receiving the second shot. It could be unrelated but thought it was worth reporting. I feel finer today.
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 | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release