4L7-29638-83793
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 897 / NV
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-08
Registered in v-safe
-
2021-01-12
Survey response — day 7, dose 1MedDRA: Erythema, Pruritus, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: The redness swelling and itching occurred exactly 1-week and close to exact time of injection on January 7,2021. I recently picked up a new phone and had issues registering .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
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2021-01-22
Survey response — day 21, dose 1MedDRA: Diarrhoea, Rash — Feeling: GoodFree text: Rash: right side abdomen, hepatic down just superior to large intestine approximately 6 inches wide. Appeared about 4-5 days ago. Approximately 2-3 days later left side abdomen area pancreas down to same area, not as wide. Both fading, diarrhea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Dose 2 — Moderna
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-02-04
- 2021-02-12
- 2021-02-18
- 2021-02-25
- 2021-03-06
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2021-03-12
Survey response — day 42, dose 2MedDRA: Nasopharyngitis, Pre-existing disease, Pyrexia, Rhinorrhoea, Throat irritation — Feeling: FairFree text: Allergy or cold symptoms runny nose hot throat low fever last night but better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
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2022-02-01
Survey response — 12 months, dose 2MedDRA: Brain fog, Dizziness, Headache, Nausea, Pain, Pyrexia, Vomiting — Feeling: Good · Be unable to work or attend schoolFree text: Week before last head, body aches, fever, last week severe dizziness when laying down lasted few seconds post laying down, after two days of that, vomiting, nausea and brain fog for a couple more days. Unable find rapid test too I'll drive to siteMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): The redness swelling and itching occurred exactly 1-week and close to exact time of injection on January 7,2021. I recently picked up a new phone and had issues registering .
Release 2 — day 21, dose 1
Symptoms: Rash: right side abdomen, hepatic down just superior to large intestine approximately 6 inches wide. Appeared about 4-5 days ago. Approximately 2-3 days later left side abdomen area pancreas down to same area, not as wide. Both fading, diarrhea.
Release 5 — day 42, dose 2
Symptoms: Allergy or cold symptoms runny nose hot throat low fever last night but better today
Release 11 — 12 months, dose 2
Symptoms: Week before last head, body aches, fever, last week severe dizziness when laying down lasted few seconds post laying down, after two days of that, vomiting, nausea and brain fog for a couple more days. Unable find rapid test too I'll drive to site cut off by CDC
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 | Brain fog | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release