4C8-10586-00573
2 vaccinations
9 coded responses
21 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 956 / CA
- Registered
- 2021-06-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-06-11
Dose 1 — Moderna
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2021-06-14
Registered in v-safe
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2021-06-14
Survey response — days 1–6 daily, dose 1MedDRA: Migraine — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: This could be a migraine, I get them approximately every 6-8 weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body achesFree text: These pains are my daily life, unrelated to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Headache, Muscle or body achesFree text: Above are daily for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tirednessFree text: Heat wave here in Nor Cal !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Survey response — day 7, dose 1MedDRA: Nausea — Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal painFree text: I'm not sure that I was checking the box for nausea all week, but I've had it most days. Could be the migraine, intense heat wave...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-02
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2021-07-09
Dose 2 — Moderna
- 2021-07-09
- 2021-07-10
- 2021-07-11
- 2021-07-12
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2021-07-13
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Joint painsFree text: Not sure if hip pain is just me getting old, lol ! Wanted to report it to you in caseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, Nausea, DiarrheaFree text: May have been something I ateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-15
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2021-07-16
Survey response — day 7, dose 2MedDRA: Muscle spasms — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: I have had moderate leg cramps for about a week, but just wrote it off as stopping my potassium supplement, but that was over 6 months ago. So, I'm telling you now, "leg cramps since 2nd doseMedDRA releases: 2024-11 · check-in free text available
- 2021-07-23
- 2021-07-30
- 2021-08-07
- 2021-08-13
- 2021-08-20
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2021-10-08
Survey response — 3 months, dose 2MedDRA: Lower respiratory tract infection, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Family wide horrible chest cold... Negative for covidMedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-13
- 2022-01-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-11 | Moderna | |
| 2 | 2021-07-09 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): This could be a migraine, I get them approximately every 6-8 weeks
Systemic reaction (other): These pains are my daily life, unrelated to the vaccine
Systemic reaction (other): Above are daily for me
Systemic reaction (other): Heat wave here in Nor Cal !
Release 9 — day 7, dose 1
Systemic reaction (other): I'm not sure that I was checking the box for nausea all week, but I've had it most days. Could be the migraine, intense heat wave...
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Not sure if hip pain is just me getting old, lol ! Wanted to report it to you in case
Systemic reaction (other): May have been something I ate
Release 9 — day 7, dose 2
Systemic reaction (other): I have had moderate leg cramps for about a week, but just wrote it off as stopping my potassium supplement, but that was over 6 months ago. So, I'm telling you now, "leg cramps since 2nd dose
Release 10 — 3 months, dose 2
Symptoms: Family wide horrible chest cold... Negative for covid
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 | Lower respiratory tract infection | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release