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3XD-20821-19002

3 vaccinations 7 coded responses 25 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
922 / CA
Registered
2021-02-12
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Registered in v-safe
  2. 2021-02-13
    Dose 1 — Moderna
  3. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Diarrhoea, Self-medication — Feeling: Good · Site: Pain
    Free text: The first 2 days following the injection I experienced chills briefly both days less than 15 minutes and diarrhea. Took Tylenol and Pepto Bismol. Both were mild and I was able to go about my regular activity, did not miss work.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Muscle or body aches
    Free text: Left armpit swelling and tenderness, same side as injection site (left arm).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-20
    Survey response — day 7, dose 1
    MedDRA: Axillary pain — Feeling: Good · Muscle or body aches
    Free text: Left armpit soreness, same side as shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-13
    Dose 2 — Moderna
  11. 2021-03-20
    Survey response — day 7, dose 2
    MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Good · Site: Itching · Be unable to do your normal daily activities
    Free text: I had moderate symptoms next day after vaccine injection - chills, headache, fever, body aches lasting a day and a half.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-06
    Dose 3 — Moderna
  20. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chills, Cough, Fatigue, Headache, Impaired work ability, Pyrexia — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: First 2 days were BAD. Temp 102.2 cough chills headache extreme fatigue. Missed 2 days work.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-13
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-11-20
    Survey response — day 14, dose 3
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Be unable to work or attend school
    Free text: Common cold / sinus infection - tested NEG for covid
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-12-04
    Survey response — day 28, dose 3
    MedDRA: Cough, Nasal congestion, Respiratory tract congestion — Feeling: Fair
    Free text: Snuffy nose, congestion, cough
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-12-13
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-12-18
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-02-05
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-05-07
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-11-06
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-13Moderna
32021-11-06Moderna No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): The first 2 days following the injection I experienced chills briefly both days less than 15 minutes and diarrhea. Took Tylenol and Pepto Bismol. Both were mild and I was able to go about my regular activity, did not miss work.

2021-02-19

Systemic reaction (other): Left armpit swelling and tenderness, same side as injection site (left arm).

Release 4 — day 7, dose 1

2021-02-20

Systemic reaction (other): Left armpit soreness, same side as shot.

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): I had moderate symptoms next day after vaccine injection - chills, headache, fever, body aches lasting a day and a half.

Release 10 — days 1–6 daily, dose 3

2021-11-09

Systemic reaction (other): First 2 days were BAD. Temp 102.2 cough chills headache extreme fatigue. Missed 2 days work.

Release 10 — day 14, dose 3

2021-11-20

Symptoms: Common cold / sinus infection - tested NEG for covid

Release 10 — day 28, dose 3

2021-12-04

Symptoms: Snuffy nose, congestion, cough

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSinusitis · · ✓
SROAxillary pain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROCough · · ✓
SRODiarrhoea ✓ ✓ ✓
SROFatigue · · ✓
SROHeadache ✓ ✓ ✓
SROImpaired work ability · · ✓
SROOedema peripheral ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release