4QB-28247-83951
4 vaccinations
3 coded responses
27 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 290 / SC
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- Asian
- Ethnicity
- N/A
Timeline
-
2021-02-22
Dose 1 — Moderna
-
2021-02-23
Registered in v-safe
- 2021-02-23
- 2021-02-24
- 2021-02-27
- 2021-03-01
- 2021-03-08
- 2021-03-15
-
2021-03-23
Dose 2 — Moderna
-
2021-04-05
Survey response — day 7, dose 2MedDRA: Asthenia, Back pain, Chills, Discomfort, Injection site erythema, Injection site swelling, Somnolence, Vomiting — Feeling: GoodFree text: After my first day and the second day of receiving the 2nd dose, I had chill, redness and swelling on the area around the injection site. I felt like vomiting, felt weak, sleepy , discomfort. But at this time everything is alright. My back pain triggers more since after tha vaccination. I dont know if it is because of the vaccine or it was just there. To this day it is still hurting from time to timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
- 2021-04-22
- 2021-04-27
- 2021-05-04
- 2021-06-23
- 2021-09-21
-
2021-10-22
Dose 3 — Moderna
-
2021-10-29
Survey response — day 7, dose 3MedDRA: Chills, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: The next day after the shot I got chills and after taking Tylenol I felt betterMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-05
- 2022-01-21
-
2022-04-03
Dose 4 — Moderna
-
2022-04-18
Survey response — day 14, dose 4MedDRA: Abdominal discomfort, Asthenia, Diarrhoea, Dizziness, Feeling cold, Self-medication — Feeling: GoodFree text: I was dizzy, cold and weak. Took Tylenol and gotten better. After 12 days I had diarrhea. After taking Imodium I felt better but my stomach still upset like I am hungry which I was not really hungryMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-05-02
- 2022-05-18
- 2022-07-05
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Moderna | |
| 2 | 2021-03-23 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-03 | Moderna | No |
Free text
Release 6 — day 7, dose 2
Systemic reaction (other): After my first day and the second day of receiving the 2nd dose, I had chill, redness and swelling on the area around the injection site. I felt like vomiting, felt weak, sleepy , discomfort. But at this time everything is alright. My back pain triggers more since after tha vaccination. I dont know if it is because of the vaccine or it was just there. To this day it is still hurting from time to time
Release 10 — day 7, dose 3
Systemic reaction (other): The next day after the shot I got chills and after taking Tylenol I felt better
Release 11 — day 14, dose 4
Symptoms: I was dizzy, cold and weak. Took Tylenol and gotten better. After 12 days I had diarrhea. After taking Imodium I felt better but my stomach still upset like I am hungry which I was not really hungry
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 discomfort | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release