4B3-12262-55570
4 vaccinations
6 coded responses
34 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 857 / AZ
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
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2021-03-22
Dose 1 — Moderna
- 2021-03-22
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2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-25
- 2021-03-26
- 2021-03-27
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-29
- 2021-04-05
- 2021-04-12
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2021-04-19
Survey response — day 28, dose 1MedDRA: Diarrhoea, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I woke up with vomiting and diarrhea yesterday morning but I believe it was food poisoning. Better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Dose 2 — Moderna
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2021-04-21
Health check-in — day 0, dose 2Feeling: Good · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workAdult check-in
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Self-medication — Feeling: Good · Site: SwellingFree text: I broke out in a rash over my entire torso and inner legs and arms yesterday after the check in. I took one generic anti histamine that did nothing. Slept and have only small remnantsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
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2021-05-19
Survey response — day 28, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Well, I never brought this up before and it's not a symptom per se, just could be menopause, but I just turned 48 and haven't had a period since a week before my first dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-06-02
- 2021-07-21
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2021-10-20
Survey response — 6 months, dose 2MedDRA: Influenza, Malaise, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Really bad cold/flu a few weeks ago. Tested 2x with PCR for Covid which were negative but had all the symptoms. Still not 100%MedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Dose 3 — Moderna
- 2022-04-22
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2022-09-07
Dose 4 — Moderna
- 2022-09-19
- 2022-09-21
- 2022-09-29
- 2022-10-07
- 2022-10-19
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2022-12-07
Survey response — 3 months, dose 4MedDRA: Menstruation irregular — Feeling: GoodFree text: Long interval between periodsMedDRA releases: 2024-11 · check-in free text available
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2023-03-11
Survey response — 6 months, dose 4MedDRA: Menstrual disorder, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-09-07 | Moderna | No |
Free text
Release 7 — day 28, dose 1
Symptoms: I woke up with vomiting and diarrhea yesterday morning but I believe it was food poisoning. Better today.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I broke out in a rash over my entire torso and inner legs and arms yesterday after the check in. I took one generic anti histamine that did nothing. Slept and have only small remnants
Release 8 — day 28, dose 2
Symptoms: Well, I never brought this up before and it's not a symptom per se, just could be menopause, but I just turned 48 and haven't had a period since a week before my first dose.
Release 10 — 6 months, dose 2
Symptoms: Really bad cold/flu a few weeks ago. Tested 2x with PCR for Covid which were negative but had all the symptoms. Still not 100%
Release 12 — 3 months, dose 4
Symptoms: Long interval between periods
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Menstrual disorder | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release