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4Q7-26692-03754

3 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
913 / CA
Registered
2021-03-26
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-26
    Registered in v-safe
  2. 2021-03-26
    Dose 1 — Moderna
  3. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache
    Adult check-in
  4. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Pain, Itching
    Free text: A little dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-04
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-04-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-23
    Dose 2 — Moderna
  12. 2021-04-23
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache
    Adult check-in
  13. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Epistaxis — Feeling: Fair · Site: Pain, Swelling · Headache, Diarrhea · Be unable to do your normal daily activities
    Free text: Nosebleed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache
    Adult check-in
  15. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Diarrhea
    Adult check-in
  16. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  18. 2021-04-30
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Adult check-in
  19. 2021-05-07
    Survey response — day 14, dose 2
    MedDRA: Dizziness, Fatigue, Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: A little fatigue, dizziness, headache for the past few days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-14
    Survey response — day 21, dose 2
    MedDRA: Cardiac flutter — Feeling: Fair
    Free text: Heart has been fluttering a bit for days now. Happens every so often throughout the day. Not sure if the shot or just medication I'm taking.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-21
    Survey response — day 28, dose 2
    MedDRA: Cardiac flutter, Diarrhoea, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Bad diarrhea for a couple of days, headaches, heart flutters. Not sure if assoc with vaccine or other meds or both.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-28
    Survey response — day 35, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Mild Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-22
    Survey response — 6 months, dose 2
    MedDRA: Diarrhoea, Headache, Nausea, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Diarrhea, nausea, headache, sniffles
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-19
    Dose 3 — Moderna
  27. 2022-04-23
    Survey response — 12 months, dose 2
    MedDRA: Cough, Dysphonia, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Bad cold. At least i hope its just a cold. Sniffling, sore throat, congestion in chest, cough, hoarse. Going on now
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-05-20
    Survey response — 6 months, dose 3
    MedDRA: Cough, Hyperhidrosis, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Coughing, sweating, congestion
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-11-21
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-23Moderna
32021-11-19Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): A little dizziness

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Nosebleed

Release 8 — day 14, dose 2

2021-05-07

Symptoms: A little fatigue, dizziness, headache for the past few days

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Heart has been fluttering a bit for days now. Happens every so often throughout the day. Not sure if the shot or just medication I'm taking.

Release 8 — day 28, dose 2

2021-05-21

Symptoms: Bad diarrhea for a couple of days, headaches, heart flutters. Not sure if assoc with vaccine or other meds or both.

Release 8 — day 35, dose 2

2021-05-28

Symptoms: Mild Headaches

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Diarrhea, nausea, headache, sniffles

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: Bad cold. At least i hope its just a cold. Sniffling, sore throat, congestion in chest, cough, hoarse. Going on now

Release 11 — 6 months, dose 3

2022-05-20

Symptoms: Coughing, sweating, congestion

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
SDCardiac flutter ✓ ✓ ✓
SDCough · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDDysphonia · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHyperhidrosis · · ✓
SDNasopharyngitis · · ✓
SDNausea · · ✓
SDOropharyngeal pain · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SRODizziness ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓

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