4MM-33228-27979
3 vaccinations
8 coded responses
8 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 928 / CA
- Registered
- 2021-11-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Moderna
-
2021-04-17
Dose 2 — Moderna
-
2021-11-15
Dose 3 — Moderna
-
2021-11-17
Registered in v-safe
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Confusional state, Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection siteFree text: Lightheadedness, confusion, dizzinessMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain, Chest pain, Muscle spasms — Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection siteFree text: Cramps, chest pain. Abdominal painMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Survey response — day 7, dose 3MedDRA: Abdominal pain upper — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection siteFree text: Stomach crampingMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Survey response — day 14, dose 3MedDRA: Abdominal pain upper, Muscle spasms — Feeling: FairFree text: stomach pain. Continuous cramps in upper and lower extremities (Arms hand legs)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Survey response — day 21, dose 3MedDRA: Arthralgia, Asthenia, Chills, Oropharyngeal pain, Rhinorrhoea, Somnolence, Tinnitus — Feeling: FairFree text: joint pain. Chills, weakness, sleepiness, weird sound in my ears. Runny nose. Sore troatMedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Survey response — day 35, dose 3MedDRA: Arthralgia, Chills, Fatigue, Myalgia — Feeling: FairFree text: Chills. Muscle pain, joint pain. FatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-02-16
Survey response — 3 months, dose 3MedDRA: Cough, Diarrhoea, Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrea, watery, extreme fatigue, headache, nasal congestion, watery nose drainage, sore troat, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Survey response — 6 months, dose 3MedDRA: Abdominal pain upper, Arthralgia, Fatigue, Myalgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Extreme fatigue, stomach cramping, muscle pain, painful articulationsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | No |
| 2 | 2021-04-17 | Moderna | No |
| 3 | 2021-11-15 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lightheadedness, confusion, dizziness
Systemic reaction (other): Cramps, chest pain. Abdominal pain
Release 10 — day 7, dose 3
Systemic reaction (other): Stomach cramping
Release 10 — day 14, dose 3
Symptoms: stomach pain. Continuous cramps in upper and lower extremities (Arms hand legs)
Release 10 — day 21, dose 3
Symptoms: joint pain. Chills, weakness, sleepiness, weird sound in my ears. Runny nose. Sore troat
Release 10 — day 35, dose 3
Symptoms: Chills. Muscle pain, joint pain. Fatigue
Release 11 — 3 months, dose 3
Symptoms: Diarrea, watery, extreme fatigue, headache, nasal congestion, watery nose drainage, sore troat, cough
Release 11 — 6 months, dose 3
Symptoms: Extreme fatigue, stomach cramping, muscle pain, painful articulations
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 | Abdominal pain upper | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Confusional state | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release