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4KX-22907-11266

4 vaccinations 11 coded responses 51 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
923 / CA
Registered
2021-03-02
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Registered in v-safe
  2. 2021-03-02
    Dose 1 — Moderna
  3. 2021-03-02
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  6. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-16
    Survey response — day 14, dose 1
    MedDRA: Haemorrhoids, Pruritus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Hemorrhoids and itching. My Doctor is calling me in 2 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-23
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-03-30
    Dose 2 — Moderna
  14. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: rash is still spreading 5"-3"".
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Adult check-in
  19. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good · Headache
    Free text: still dizzy once in a while, minor.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-06
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  22. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-29
    Survey response — 3 months, dose 2
    MedDRA: Abdominal discomfort, Abdominal distension — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Major bloating and bowl upset. Getting a colonoscopy 7/6. No Covid symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-09-28
    Survey response — 6 months, dose 2
    MedDRA: Ligament sprain — Feeling: Good
    Free text: Rolled my right ankle on Sunday. I am a klutz sometimes.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-28
    Dose 3 — Moderna
  30. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Diarrhea
    Adult check-in
  31. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Chills, Headache
    Adult check-in
  32. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fever · Chills, Headache, Diarrhea
    Adult check-in
  33. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Joint pains
    Adult check-in
  34. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-27
    Survey response — 3 months, dose 3
    MedDRA: Nasopharyngitis, Self-medication — Feeling: Fair
    Free text: Like the start of a cold, but I keep fending it off with zinc. No fever to speak of.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-04-18
    Dose 4 — Moderna
  43. 2022-04-18
    Health check-in — day 0, dose 4
    Feeling: Good · None · Be unable to do your normal daily activities
    Adult check-in
  44. 2022-04-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-04-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-04-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-04-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Swelling · Headache · Be unable to do your normal daily activities
    Free text: I just feel off my normal .
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-04-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  49. 2022-04-25
    Survey response — day 7, dose 4
    MedDRA: Somnolence — Feeling: Fair
    Free text: super sleepy, so I napped.
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-05-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-05-09
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-05-16
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-05-23
    Survey response — day 35, dose 4
    MedDRA: Aphonia, Influenza, Vomiting projectile — Feeling: Fair · Be unable to do your normal daily activities
    Free text: The flu, 5th day working on getting my voice back. Never had a fever, just projectile vomited.
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-05-30
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  55. 2022-07-18
    Survey response — 3 months, dose 4
    MedDRA: Asthenia, Clostridium difficile infection — Feeling: Good · Be unable to do your normal daily activities
    Free text: Cdif, took the Flagyl and came through it. Still rebuilding my GI tract and getting my strength back.
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-10-17
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna
32021-10-28Moderna No
42022-04-18Moderna No

Free text

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Hemorrhoids and itching. My Doctor is calling me in 2 days.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Dizzy

2021-04-02

Systemic reaction (other): rash is still spreading 5"-3"".

2021-04-05

Systemic reaction (other): still dizzy once in a while, minor.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Major bloating and bowl upset. Getting a colonoscopy 7/6. No Covid symptoms.

Release 9 — 6 months, dose 2

2021-09-28

Symptoms: Rolled my right ankle on Sunday. I am a klutz sometimes.

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Like the start of a cold, but I keep fending it off with zinc. No fever to speak of.

Release 11 — days 1–6 daily, dose 4

2022-04-23

Systemic reaction (other): I just feel off my normal .

Release 11 — day 7, dose 4

2022-04-25

Systemic reaction (other): super sleepy, so I napped.

Release 11 — day 35, dose 4

2022-05-23

Symptoms: The flu, 5th day working on getting my voice back. Never had a fever, just projectile vomited.

Release 12 — 3 months, dose 4

2022-07-18

Symptoms: Cdif, took the Flagyl and came through it. Still rebuilding my GI tract and getting my strength back.

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
SDAbdominal discomfort ✓ ✓ ✓
SDAbdominal distension ✓ ✓ ✓
SDAphonia · · ✓
SDAsthenia · · ✓
SDClostridium difficile infection · · ✓
SDHaemorrhoids ✓ ✓ ✓
SDInfluenza · · ✓
SDLigament sprain · · ✓
SDNasopharyngitis · · ✓
SDPruritus ✓ ✓ ✓
SDSelf-medication · · ✓
SDVomiting projectile · · ✓
SRODizziness ✓ ✓ ✓
SROFeeling abnormal · · ✓
SRORash ✓ ✓ ✓
SROSomnolence · · ✓

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

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