4RA-32708-85179
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 799 / TX
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Moderna
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Hernia pain, Inflammation — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain and inflammation in my belly hernia. Dont know if it is a related symptom but it was not hurting before. Pain began yesterday evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — day 7, dose 1MedDRA: Breast pain, Hernia pain, Inflammation, Muscle spasms, Pre-existing disease, Umbilical hernia — Feeling: Fair · Fatigue or tirednessFree text: Belly button hernia pain and inflammation. Pain spasms on breasts mostly right side where had lumpectomyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
-
2021-04-02
Survey response — day 21, dose 1MedDRA: Fatigue, Headache, Nasopharyngitis — Feeling: FairFree text: Feek like i have a cold but may be allergies. Feeling fatigue today and headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Dose 2 — Moderna
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pain, Peripheral swelling — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Following day had pain, swollen arm, and fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-08
-
2022-04-08
Survey response — 12 months, dose 2MedDRA: Autoimmune disorder — Feeling: Fair · Be unable to work or attend schoolFree text: Diagnosed with auto immune diseaseMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Pain and inflammation in my belly hernia. Dont know if it is a related symptom but it was not hurting before. Pain began yesterday evening.
Release 6 — day 7, dose 1
Systemic reaction (other): Belly button hernia pain and inflammation. Pain spasms on breasts mostly right side where had lumpectomy
Release 6 — day 21, dose 1
Symptoms: Feek like i have a cold but may be allergies. Feeling fatigue today and headache.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Following day had pain, swollen arm, and fatigue
Release 11 — 12 months, dose 2
Symptoms: Diagnosed with auto immune disease
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 | Autoimmune disorder | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Breast pain | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hernia pain | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Umbilical hernia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release