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
-
2021-02-12
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Diarrhoea, Self-medication — Feeling: Good · Site: PainFree 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
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Muscle or body achesFree 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
-
2021-02-20
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: Good · Muscle or body achesFree text: Left armpit soreness, same side as shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-07
-
2021-03-13
Dose 2 — Moderna
-
2021-03-20
Survey response — day 7, dose 2MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Good · Site: Itching · Be unable to do your normal daily activitiesFree 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
- 2021-03-27
- 2021-04-05
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-13
-
2021-11-06
Dose 3 — Moderna
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: 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 activitiesFree 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
- 2021-11-13
-
2021-11-20
Survey response — day 14, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Be unable to work or attend schoolFree text: Common cold / sinus infection - tested NEG for covidMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
-
2021-12-04
Survey response — day 28, dose 3MedDRA: Cough, Nasal congestion, Respiratory tract congestion — Feeling: FairFree text: Snuffy nose, congestion, coughMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2021-12-18
- 2022-02-05
- 2022-05-07
- 2022-11-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
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.
Systemic reaction (other): Left armpit swelling and tenderness, same side as injection site (left arm).
Release 4 — day 7, dose 1
Systemic reaction (other): Left armpit soreness, same side as shot.
Release 6 — day 7, dose 2
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
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
Symptoms: Common cold / sinus infection - tested NEG for covid
Release 10 — day 28, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | · | · | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release