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4HN-32546-91638

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
934 / CA
Registered
2021-01-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-18
    Registered in v-safe
  2. 2021-01-18
    Dose 1 — Moderna
  3. 2021-01-18
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches
    Free text: Just in the injection arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Went on a 22 mile ebike ride today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-15
    Dose 2 — Moderna
  13. 2021-02-15
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Flatulence — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Mort flatus yesterday than usual.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Very minimal tired feeling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Abdominal distension, Dysgeusia, Gastrointestinal disorder — Feeling: Fair · Fatigue or tiredness, Nausea
    Free text: Not really abdominal pain, I have bloating and GI upset, GI tract feels slightly inflamed. Have not lost sense of smell, I have an unusual taste in my mouth, almost metallic-like.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  19. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia — Feeling: Good
    Free text: Slight abnormal taste in my mouth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-22
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache
    Adult check-in
  21. 2021-03-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-08
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-03-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-16
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good
    Free text: I had a cold about a month ago. I got a Covid test that was negative.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2022-02-15
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-15Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Just in the injection arm.

2021-01-21

Systemic reaction (other): Went on a 22 mile ebike ride today.

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Mort flatus yesterday than usual.

2021-02-17

Systemic reaction (other): Very minimal tired feeling.

2021-02-19

Systemic reaction (other): Not really abdominal pain, I have bloating and GI upset, GI tract feels slightly inflamed. Have not lost sense of smell, I have an unusual taste in my mouth, almost metallic-like.

2021-02-21

Systemic reaction (other): Slight abnormal taste in my mouth.

Release 9 — 6 months, dose 2

2021-08-16

Symptoms: I had a cold about a month ago. I got a Covid test that was negative.

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
SDNasopharyngitis ✓ · ✓
SDSARS-CoV-2 test negative ✓ · ✓
SROAbdominal discomfort ✓ ✓ ✓
SROAbdominal distension ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROGastrointestinal disorder ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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