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4DB-32964-36544

4 vaccinations 4 coded responses 7 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
934 / CA
Registered
2021-05-17
Relationship
Self
Race
Multiracial
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-05-17
    Registered in v-safe
  2. 2021-05-17
    Dose 1 — Moderna
  3. 2021-05-17
    Health check-in — day 0, dose 1
    Feeling: Fair · Fever · Chills
    Adult check-in
  4. 2021-05-18
    Dose 2 — Moderna
  5. 2021-05-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-05-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Menstruation irregular — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work
    Free text: Period showed up early and day 2 i have a fever of 100
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chromaturia, Dehydration, Dry mouth — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Cant seem to get hydrated no matter how much water I drink I feel parched and my pee is yellow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-02
    Survey response — day 14, dose 1
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Im sooooooo tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-07
    Survey response — day 21, dose 1
    MedDRA: Injection site pain, Injection site swelling — Feeling: Fair
    Free text: So i have a bump where i got the shot. It's small like a pimple but, unlike a pimple when i went to squeeze it i had a pain deeeeeeep into my muscle. It really was like an ouch feeling. So i poked at it more today still there still hurts...
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-08-16
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-12-26
    Dose 3 — Moderna
    Co-administered: Flu
  12. 2022-09-28
    Dose 4 — Moderna
    Co-administered: Flu

Vaccinations

DoseDateManufacturerCo-administered
12021-05-17Moderna
22021-05-18Moderna No
32021-12-26Moderna Flu
42022-09-28Moderna Flu

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-20

Systemic reaction (other): Period showed up early and day 2 i have a fever of 100

2021-05-23

Systemic reaction (other): Cant seem to get hydrated no matter how much water I drink I feel parched and my pee is yellow

Release 8 — day 14, dose 1

2021-06-02

Symptoms: Im sooooooo tired

Release 8 — day 21, dose 1

2021-06-07

Symptoms: So i have a bump where i got the shot. It's small like a pimple but, unlike a pimple when i went to squeeze it i had a pain deeeeeeep into my muscle. It really was like an ouch feeling. So i poked at it more today still there still hurts...

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

FieldPreferred term2021-092023-042024-11
SDFatigue ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SROChromaturia ✓ ✓ ✓
SRODehydration ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROMenstruation irregular ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release