4QY-17380-03318
5 vaccinations
5 coded responses
68 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 856 / AZ
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
- 2021-02-04
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Night sweats, Pyrexia — Feeling: Good · FeverFree text: I was head-to-foot soaking wet when I woke up to use the bathroom. It was not a menopausal night sweat; I believe it was vaccine-induced fever spike, no other symptoms. I went right back to sleep; got up feeling fine, ran like I do every day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Fatigue or tirednessAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-06-07
- 2021-09-06
-
2021-12-01
Dose 3 — Moderna
-
2021-12-02
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: very mild headache went away with my morning joggingMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-03-02
-
2022-04-02
Dose 4 — Moderna
- 2022-04-02
-
2022-04-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · Fever · NoneAdult check-in
- 2022-04-04
- 2022-04-05
-
2022-04-06
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: Thank you for these miracle vaccines!MedDRA releases: 2024-11 · check-in free text available
- 2022-04-07
- 2022-04-08
- 2022-04-09
- 2022-04-16
- 2022-04-23
-
2022-04-30
Survey response — day 28, dose 4MedDRA: Abdominal pain, Discomfort, Vomiting — Feeling: GoodFree text: Abdominal pain that came out of nowhere caused me to throw up last Thursday. They were couple of uncomfortable hours but absolutely normal afterward. Have set up appointment with GI doctor.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
- 2022-05-14
- 2022-07-03
-
2022-09-15
Dose 5 — Moderna
- 2022-09-15
-
2022-09-16
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-17
-
2022-09-18
Survey response — days 1–6 daily, dose 5MedDRA: Abdominal pain — Feeling: Good · Abdominal pain · Be unable to do your normal daily activitiesFree text: Abdominal pain was late last night, very intense for couple of hours, went away on its own, took no medication of any kindMedDRA releases: 2024-11 · check-in free text available
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-12-16
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
| 5 | 2022-09-15 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I was head-to-foot soaking wet when I woke up to use the bathroom. It was not a menopausal night sweat; I believe it was vaccine-induced fever spike, no other symptoms. I went right back to sleep; got up feeling fine, ran like I do every day.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): very mild headache went away with my morning jogging
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Thank you for these miracle vaccines!
Release 11 — day 28, dose 4
Symptoms: Abdominal pain that came out of nowhere caused me to throw up last Thursday. They were couple of uncomfortable hours but absolutely normal afterward. Have set up appointment with GI doctor.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Abdominal pain was late last night, very intense for couple of hours, went away on its own, took no medication of any kind
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 | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release