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3Z3-21682-93457

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
926 / CA
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Registered in v-safe
  2. 2021-01-22
    Dose 1 — Moderna
  3. 2021-01-22
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Good · Site: Pain
    Free text: Very mild back pain near kidney area may be unrelated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-05
    Survey response — day 14, dose 1
    MedDRA: Diarrhoea, SARS-CoV-2 test negative — Feeling: Good
    Free text: Had some diarrhea for a couple days but I know a couple other people that did too. Rapid Covid with Abbott negative.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-19
    Dose 2 — Moderna
  14. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches
    Adult check-in
  15. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  16. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  18. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · None
    Adult check-in
  20. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-02
    Survey response — day 42, dose 2
    MedDRA: Diarrhoea — Feeling: Fair
    Free text: Diarrhea today two times
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-22
    Survey response — 6 months, dose 2
    MedDRA: Gastrointestinal disorder, Headache, Nervousness, Upper respiratory tract infection — Feeling: Good
    Free text: Have had an URI once, GI symptoms a couple times and a headache a couple times. Always nervous it could be Covid since plenty of vaccinated people are catching it.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2022-02-21
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Influenza like illness, Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Had the flu type symptoms (Covid negative per 3 antigen and 1 PCR test) in early January. Had Covid in late January. Symptoms moderate 3-4 days then very mild. No residual.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-19Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Very mild back pain near kidney area may be unrelated

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Had some diarrhea for a couple days but I know a couple other people that did too. Rapid Covid with Abbott negative.

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Diarrhea today two times

Release 9 — 6 months, dose 2

2021-08-22

Symptoms: Have had an URI once, GI symptoms a couple times and a headache a couple times. Always nervous it could be Covid since plenty of vaccinated people are catching it.

Release 11 — 12 months, dose 2

2022-02-21

Symptoms: Had the flu type symptoms (Covid negative per 3 antigen and 1 PCR test) in early January. Had Covid in late January. Symptoms moderate 3-4 days then very mild. No residual.

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
SDCOVID-19 · · ✓
SDDiarrhoea ✓ ✓ ✓
SDGastrointestinal disorder ✓ · ✓
SDHeadache ✓ · ✓
SDInfluenza like illness · · ✓
SDMalaise · · ✓
SDNervousness ✓ · ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDUpper respiratory tract infection ✓ · ✓
SROBack pain ✓ ✓ ✓

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