4VG-16427-00870
4 vaccinations
6 coded responses
45 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 926 / CA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-23
- 2021-01-24
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-23
Dose 2 — Moderna
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, DiarrheaFree text: Lack of appetite 12-72 hours after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
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2021-03-09
Survey response — day 14, dose 2MedDRA: Pruritus, Rash — Feeling: GoodFree text: Rash on face. Didnt think to report it after first shot cuz it wasnt bad but since second shot has gotten more itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
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2021-04-08
Survey response — day 42, dose 2MedDRA: Nausea, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Got nauseous all of a sudden and began throwing up. Bile. Sipped a coke 2 settle tummy and have been throwing that up each time I drinkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-24
Survey response — 6 months, dose 2MedDRA: Clostridium difficile infection, Dehydration, Diarrhoea, Lethargy — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Diagnosed w C-Diff on 8/18. Severe diarrhea, dehydration, lethargyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-10
Dose 3 — Moderna
- 2021-10-25
- 2021-10-31
- 2021-11-07
- 2021-11-16
- 2021-11-21
-
2022-01-09
Survey response — 3 months, dose 3MedDRA: Headache, Pain — Feeling: FairFree text: Dull headache, soreMedDRA releases: 2024-11 · check-in free text available
- 2022-04-10
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2022-04-20
Dose 4 — Moderna
- 2022-04-20
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2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-22
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-05-04
- 2022-05-12
- 2022-05-18
- 2022-05-25
- 2022-06-01
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2022-07-20
Survey response — 3 months, dose 4MedDRA: Meniscus injury, Synovial cyst — Feeling: Good · Be unable to do your normal daily activitiesFree text: Torn meniscus &. Baker cyst in rightkneeMedDRA releases: 2024-11 · check-in free text available
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-10 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lack of appetite 12-72 hours after injection
Release 5 — day 14, dose 2
Symptoms: Rash on face. Didnt think to report it after first shot cuz it wasnt bad but since second shot has gotten more itchy.
Release 7 — day 42, dose 2
Symptoms: Got nauseous all of a sudden and began throwing up. Bile. Sipped a coke 2 settle tummy and have been throwing that up each time I drink
Release 9 — 6 months, dose 2
Symptoms: Diagnosed w C-Diff on 8/18. Severe diarrhea, dehydration, lethargy
Release 10 — 3 months, dose 3
Symptoms: Dull headache, sore
Release 12 — 3 months, dose 4
Symptoms: Torn meniscus &. Baker cyst in rightknee
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 | Clostridium difficile infection | ✓ | · | ✓ |
| SD | Dehydration | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lethargy | ✓ | · | ✓ |
| SD | Meniscus injury | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Synovial cyst | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release