49J-16948-51470
3 vaccinations
4 coded responses
27 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 902 / CA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-10-27
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Neck pain — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Very very mild Soreness in neck and nap of skullMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Headache, Neck pain — Feeling: GoodFree text: Still have sore neck and nap of skull and shoulder top.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Headache, Muscle tightness, Neck pain — Feeling: Good · Muscle or body achesFree text: Still have a little achy ness in the neck, nap of the skull, and top of shoulders. More like tightness.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Abdominal pain upper, Gastritis, Headache, Hepatic enzyme increased, Hepatic pain, Nausea, Office visit, Pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I've had nausea, stomach and liver pain, body aches, slight headache two weeks ago. Now I'm better no more nausea, headaches all around feel better. My doctor said I have gastritis and high numbers on my liver, X-rays came out good.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Very very mild Soreness in neck and nap of skull
Systemic reaction (other): Still have sore neck and nap of skull and shoulder top.
Systemic reaction (other): Still have a little achy ness in the neck, nap of the skull, and top of shoulders. More like tightness.
Release 11 — 3 months, dose 3
Symptoms: I've had nausea, stomach and liver pain, body aches, slight headache two weeks ago. Now I'm better no more nausea, headaches all around feel better. My doctor said I have gastritis and high numbers on my liver, X-rays came out good.
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 | Gastritis | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hepatic enzyme increased | · | · | ✓ |
| SD | Hepatic pain | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Muscle tightness | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release