4SU-20364-87681
2 vaccinations
4 coded responses
11 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 920 / CA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-12
Dose 1 — Moderna
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2021-03-13
Registered in v-safe
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tirednessFree text: Arm in area of injection very soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
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2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
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2021-03-19
Health check-in — day 7, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-26
Survey response — day 14, dose 1MedDRA: Arthralgia, Fatigue, Hypersomnia, Myalgia — Feeling: FairFree text: Muscle ache and joint pain in shoulders intermittently. Occassional fatigue. Sleeping more.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
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2021-04-09
Dose 2 — Moderna
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2021-07-09
Survey response — 3 months, dose 2MedDRA: Hospitalisation, Ischaemic stroke — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Ischemic stroke 5/25/21. I thought it was only a migraine. Waited 3 days before getting medical help on 5/27 coz i thought it was only a migraine. I saw stars like (star trek hyperspeed) but functioned normally otherwise. Hospitalized 5/27 - 5/30/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-08
Survey response — 6 months, dose 2MedDRA: COVID-19, Ischaemic stroke, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: In May i had an ischemic stroke, in mid July i caught covid delta variant & had to get the Monoclonal Antibody Treatment bc im immunocompromised.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Arm in area of injection very sore
Release 6 — day 14, dose 1
Symptoms: Muscle ache and joint pain in shoulders intermittently. Occassional fatigue. Sleeping more.
Release 9 — 3 months, dose 2
Symptoms: Ischemic stroke 5/25/21. I thought it was only a migraine. Waited 3 days before getting medical help on 5/27 coz i thought it was only a migraine. I saw stars like (star trek hyperspeed) but functioned normally otherwise. Hospitalized 5/27 - 5/30/21 cut off by CDC
Release 10 — 6 months, dose 2
Symptoms: In May i had an ischemic stroke, in mid July i caught covid delta variant & had to get the Monoclonal Antibody Treatment bc im immunocompromised.
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Ischaemic stroke | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release