44L-74573-50422
4 vaccinations
6 coded responses
51 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 606 / IL
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 1 — Moderna
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
-
2021-05-07
Dose 2 — Moderna
- 2021-05-07
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
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2021-06-18
Survey response — day 42, dose 2MedDRA: Rash macular — Feeling: GoodFree text: Ive noticed tiny red dots (petechiae?) under the skin on my arms the last couple weeks. Could be from exercising, but wanted to note in case its related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-10
Survey response — 3 months, dose 2MedDRA: Medical counselling, Nasopharyngitis, Oropharyngeal pain, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: FairFree text: I have a cold since I visited Dallas, but the doc said its probably allergies. Negative covid and strep tests. Sore throat, sneezing, runny nose, no fever.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-05
-
2021-11-09
Dose 3 — Moderna
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Pelvic pain, Pre-existing disease — Feeling: Poor · Site: Pain · Be unable to work or attend schoolFree text: I was feeling well this morning but developed sharp acute pelvic pain. I have a history of kidney stones so that's possible. Doing testing.MedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Emergency care, Pelvic pain — Feeling: Fair · Abdominal pain · Be unable to do your normal daily activitiesFree text: Unexplained lower pelvic pain after spending 12 hrs at the hospital yesterday. Thought it was kidney stones but all scans and labs were clear. Still in pain today but better than yesterday.MedDRA releases: 2024-11 · check-in free text available
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2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-14
- 2021-11-15
-
2021-11-16
Survey response — day 7, dose 3MedDRA: Abdominal pain, Ovarian cyst ruptured — Feeling: GoodFree text: Abdominal pain is believed to have been a ruptured ovarian cyst, and therefore unrelated to the moderna booster.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2022-02-08
- 2022-05-10
-
2022-09-13
Dose 4 — Pfizer-BioNTechCo-administered: Flu
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2022-09-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-27
- 2022-10-04
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2022-10-11
Survey response — day 28, dose 4MedDRA: Oropharyngeal pain, Sneezing — Feeling: GoodFree text: Sore throat and sneezingMedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
- 2022-10-25
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-07 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-09-13 | Pfizer-BioNTech | Flu |
Free text
Release 9 — day 42, dose 2
Symptoms: Ive noticed tiny red dots (petechiae?) under the skin on my arms the last couple weeks. Could be from exercising, but wanted to note in case its related to vaccine.
Release 9 — 3 months, dose 2
Symptoms: I have a cold since I visited Dallas, but the doc said its probably allergies. Negative covid and strep tests. Sore throat, sneezing, runny nose, no fever.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I was feeling well this morning but developed sharp acute pelvic pain. I have a history of kidney stones so that's possible. Doing testing.
Systemic reaction (other): Unexplained lower pelvic pain after spending 12 hrs at the hospital yesterday. Thought it was kidney stones but all scans and labs were clear. Still in pain today but better than yesterday.
Release 10 — day 7, dose 3
Systemic reaction (other): Abdominal pain is believed to have been a ruptured ovarian cyst, and therefore unrelated to the moderna booster.
Release 12 — day 28, dose 4
Symptoms: Sore throat and sneezing
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 | Medical counselling | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Ovarian cyst ruptured | · | · | ✓ |
| SRO | Pelvic pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release