4PD-30301-93843
4 vaccinations
12 coded responses
32 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 600 / IL
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
- 2021-03-23
- 2021-03-25
- 2021-03-26
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Bowel movement irregularity — Feeling: GoodFree text: A few extra bowl movements but not DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: I dont know if Im just fighting a bug or if this relates to the vaccine since my vaccine was 5 days ago!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Again I think i just caught a bug not relating to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
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2021-04-13
Survey response — day 21, dose 1MedDRA: Fatigue, Headache, Pain, Paranasal sinus hypersecretion — Feeling: GoodFree text: I felt a bit run down again this past weekSome body aches Headache and sinus drainage Most likely not related to the vaccine thoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2021-04-21
Dose 2 — Moderna
- 2021-04-28
- 2021-05-05
- 2021-05-13
- 2021-05-19
- 2021-05-26
- 2021-06-02
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2021-07-21
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Nausea, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Two weeks ago I had body aches And a little congested (But so did our 17 month old and she goes to daycare) I got better the following week Then 5 days ago I started feeling nauseous w body aches and diarrhea about every 3-5 hrs lasting 3 daysMedDRA releases: 2024-11 · check-in free text available
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2021-10-21
Survey response — 6 months, dose 2MedDRA: Exposure to communicable disease, Malaise, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: On 9/17 I was running a fever 101-102 And felt crummy Negative Covid test tho And our 1 year old was sick w hand foot and mouth virus earlier in the week that weekMedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Dose 3 — ModernaCo-administered: Flu
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2022-04-21
Survey response — 12 months, dose 2MedDRA: Influenza virus test negative, Office visit, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a sore throat about 2 weeks ago And went to My primary doctor where they did both a flu test Covid test and strep throat test I tested negative for all the aboveMedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-25
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2022-05-03
Dose 4 — Moderna
- 2022-05-05
- 2022-05-06
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2022-05-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-09
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Fair · Fatigue or tirednessFree text: Was a little run down all weekendMedDRA releases: 2024-11 · check-in free text available
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2022-05-10
Survey response — day 7, dose 4MedDRA: Ear congestion — Feeling: Fair · Fatigue or tirednessFree text: Feeling like my ears are a little full w congestionMedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Survey response — day 14, dose 4MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache and fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-05-24
- 2022-06-01
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2022-06-07
Survey response — day 35, dose 4MedDRA: Fatigue, Upper-airway cough syndrome — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Post nasal drip and FatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-06-14
- 2022-08-02
- 2022-11-01
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2023-05-03
Survey response — 12 months, dose 4MedDRA: Arthralgia, Inflammation, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-11-10 | Moderna | Flu |
| 4 | 2022-05-03 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): A few extra bowl movements but not Diarrhea
Systemic reaction (other): I dont know if Im just fighting a bug or if this relates to the vaccine since my vaccine was 5 days ago!
Systemic reaction (other): Again I think i just caught a bug not relating to vaccine
Release 7 — day 21, dose 1
Symptoms: I felt a bit run down again this past weekSome body aches Headache and sinus drainage Most likely not related to the vaccine tho
Release 9 — 3 months, dose 2
Symptoms: Two weeks ago I had body aches And a little congested (But so did our 17 month old and she goes to daycare) I got better the following week Then 5 days ago I started feeling nauseous w body aches and diarrhea about every 3-5 hrs lasting 3 days
Release 10 — 6 months, dose 2
Symptoms: On 9/17 I was running a fever 101-102 And felt crummy Negative Covid test tho And our 1 year old was sick w hand foot and mouth virus earlier in the week that week
Release 11 — 12 months, dose 2
Symptoms: I had a sore throat about 2 weeks ago And went to My primary doctor where they did both a flu test Covid test and strep throat test I tested negative for all the above
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Was a little run down all weekend
Release 11 — day 7, dose 4
Systemic reaction (other): Feeling like my ears are a little full w congestion
Release 11 — day 14, dose 4
Symptoms: Headache and fatigue
Release 11 — day 35, dose 4
Symptoms: Post nasal drip and Fatigue
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 | Arthralgia | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Exposure to communicable disease | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Bowel movement irregularity | ✓ | ✓ | ✓ |
| SRO | Ear congestion | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release