3XC-18536-58534
3 vaccinations
6 coded responses
38 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 913 / CA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Headache — Feeling: Fair · HeadacheFree text: Slight headache and felt a little sick to my stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Survey response — day 7, dose 1MedDRA: Abdominal discomfort, Headache — Feeling: FairFree text: Slight headache and stomach upset but only a few hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-11-01
Dose 3 — Moderna
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I experienced most of these symptoms yesterday and also have pain and swelling in my lymph node by arm pit on arm i received injections. That discomfort has continued today and most other symptoms have improved as of todayMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still mild pain in lymph node near arm pit on arm where i got the shotMedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Fair · HeadacheFree text: Still mild tenderness in lymph node under arm pit on arm i received the injection.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
-
2021-12-06
Survey response — day 35, dose 3MedDRA: Fatigue, Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have had cold like symtpoms. Sore throat, stuffy nose, feeling tired...but after about 5 days i starting to feel betterMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2022-01-31
- 2022-05-02
- 2022-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Slight headache and felt a little sick to my stomach
Release 2 — day 7, dose 1
Systemic reaction (other): Slight headache and stomach upset but only a few hours
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I experienced most of these symptoms yesterday and also have pain and swelling in my lymph node by arm pit on arm i received injections. That discomfort has continued today and most other symptoms have improved as of today
Systemic reaction (other): Still mild pain in lymph node near arm pit on arm where i got the shot
Systemic reaction (other): Still mild tenderness in lymph node under arm pit on arm i received the injection.
Release 10 — day 35, dose 3
Symptoms: I have had cold like symtpoms. Sore throat, stuffy nose, feeling tired...but after about 5 days i starting to feel better
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 | Fatigue | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release