4V6-83140-57845
3 vaccinations
5 coded responses
37 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 922 / CA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
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2021-03-30
Dose 1 — Moderna
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2021-03-30
Survey response — day 0, dose 1MedDRA: Injection site pain, Rhinorrhoea — Feeling: GoodFree text: Runny nose and shot area is tender if pressed on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Rhinorrhoea — Feeling: GoodFree text: My arm was sore after and the next day. Runny nose but after day three arm was feeling better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Arm is not sore today. I can fully move it up and down.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
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2021-04-06
Survey response — day 7, dose 1MedDRA: Eye swelling — Feeling: GoodFree text: Two days ago my eye was swollen but, could be my seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2021-04-27
Dose 2 — Moderna
- 2021-04-27
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2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Joint painsFree text: Arm still soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-07-27
- 2021-10-26
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2021-12-14
Dose 3 — Moderna
- 2021-12-14
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2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-12-16
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-17
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-21
- 2021-12-30
- 2022-01-04
- 2022-01-13
- 2022-01-18
- 2022-01-25
- 2022-03-17
- 2022-06-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-12-14 | Moderna | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Runny nose and shot area is tender if pressed on.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): My arm was sore after and the next day. Runny nose but after day three arm was feeling better.
Systemic reaction (other): Arm is not sore today. I can fully move it up and down.
Release 7 — day 7, dose 1
Systemic reaction (other): Two days ago my eye was swollen but, could be my seasonal allergies.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Arm still sore
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 |
|---|---|---|---|---|
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release