3Z4-13873-97476
4 vaccinations
10 coded responses
42 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 937 / CA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
-
2021-03-11
Survey response — day 7, dose 1MedDRA: Flushing — Feeling: Fair · Site: Pain · HeadacheFree text: Face felt maybe flushMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Hot/warm on injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot — Feeling: Fair · Site: Itching · FeverFree text: Felt feverish but had no feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
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2021-04-27
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Only thing Ive noticed since my vaccine is Im much more tired in general by mid to end of day than I use to be. It could be a co-incident, not sure. Just noticed it thinking back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Survey response — day 35, dose 2MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: FairFree text: Just feeling more tired than usual but not sure if it has anything to do with vaccines. It does affect some normal activities.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-06-29
- 2021-09-30
-
2021-11-17
Dose 3 — Moderna
- 2021-11-17
-
2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: Pain · Fever · ChillsFree text: Soreness in arm pit areaMedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Sore lymph nodes under arm of inj. SiteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-22
- 2021-12-29
- 2022-05-18
-
2022-12-01
Dose 4 — Moderna
- 2022-12-01
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2022-12-02
Survey response — days 1–6 daily, dose 4MedDRA: Malaise — Feeling: Fair · Site: Pain · Fever · Chills, Headache · Be unable to do your normal daily activitiesFree text: Feeling that I feel lil sickMedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
- 2022-12-05
- 2022-12-06
- 2022-12-10
-
2022-12-17
Survey response — day 14, dose 4MedDRA: Feeling abnormal, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headache and just feeling not so great.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-05
- 2023-01-12
- 2023-03-02
- 2023-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-12-01 | Moderna | No |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Face felt maybe flush
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Hot/warm on injection site
Systemic reaction (other): Felt feverish but had no fever
Release 8 — day 28, dose 2
Symptoms: Only thing Ive noticed since my vaccine is Im much more tired in general by mid to end of day than I use to be. It could be a co-incident, not sure. Just noticed it thinking back.
Release 8 — day 35, dose 2
Symptoms: Just feeling more tired than usual but not sure if it has anything to do with vaccines. It does affect some normal activities.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Soreness in arm pit area
Systemic reaction (other): Sore lymph nodes under arm of inj. Site
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Feeling that I feel lil sick
Release 12 — day 14, dose 4
Symptoms: Headache and just feeling not so great.
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 | Feeling abnormal | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release