3YK-30993-18781
2 vaccinations
7 coded responses
15 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 243 / VA
- Registered
- 2021-05-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-07
Dose 1 — Moderna
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2021-05-05
Registered in v-safe
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2021-05-05
Dose 2 — Moderna
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2021-05-05
Survey response — day 0, dose 2MedDRA: Abdominal pain — Feeling: GoodFree text: Few sharp abdominal pains not consistentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain — Feeling: Fair · Site: Itching · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Last night real bad abdominal paunMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Woke up with bad headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · HeadacheFree text: Woke up with oneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-19
- 2021-05-26
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2021-06-02
Survey response — day 28, dose 2MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still having sharp pains in stomach and abandon Not all the time they started 4 days ago pretty bad. Pains are sharp and move across stomach and abandon pains come and go.Never had these prior to shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
- 2021-06-16
- 2021-08-06
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2021-11-10
Survey response — 6 months, dose 2MedDRA: Anxiety, Heart rate increased, Vision blurred — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Seems like staying very anxious, been having repaid heart beats and some blurred vision has begunMedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Survey response — 12 months, dose 2MedDRA: Anxiety, Thyroid disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: More anxious and thyroid more ActiveMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Few sharp abdominal pains not consistent
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Last night real bad abdominal paun
Systemic reaction (other): Woke up with bad headache
Systemic reaction (other): Woke up with one
Release 8 — day 28, dose 2
Symptoms: Still having sharp pains in stomach and abandon Not all the time they started 4 days ago pretty bad. Pains are sharp and move across stomach and abandon pains come and go.Never had these prior to shot
Release 10 — 6 months, dose 2
Symptoms: Seems like staying very anxious, been having repaid heart beats and some blurred vision has begun
Release 11 — 12 months, dose 2
Symptoms: More anxious and thyroid more Active
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 | ✓ | ✓ | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Thyroid disorder | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release