563-52601-88029
2 vaccinations
7 coded responses
21 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 347 / FL
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-12
Registered in v-safe
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2021-03-12
Dose 1 — Moderna
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2021-03-12
Survey response — day 0, dose 1MedDRA: Flushing — Feeling: GoodFree text: FlushingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-19
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2021-03-26
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site rash, Injection site reaction, Injection site warmth, Oropharyngeal pain, Pain, Rash, Rash papular, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A rash started at injection site on day 8 that is hot, raised, and slightly itchy/painful. It started improving then got worse. It is improving again today. Had aches, fatigue, and sore throat a couple days ago that went away the following day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Dose 2 — Moderna
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2021-04-09
Health check-in — day 0, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Shooting painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-04-15
- 2021-04-16
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2021-04-25
Survey response — day 14, dose 2MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Last Saturday I woke up with stomach ache which turned into severe stomach pains at night. I threw up about 5 times and slowly improved over the next several daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
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2021-05-14
Survey response — day 35, dose 2MedDRA: Chills, Pain — Feeling: GoodFree text: A few days ago I got body aches/shooting pains with chills. Temperature was 100. It was gone by the next morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — day 42, dose 2MedDRA: Condition aggravated, Malaise, Pre-existing disease — Feeling: FairFree text: I have realized that my IC symptoms have been worse since the first shot so I think it has influenced that. I still have days where I start to feel sick, but the symptoms resolve by the next morning and have been getting less and less severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2022-04-11
Survey response — 12 months, dose 2MedDRA: Fatigue, Hot flush, Malaise, Office visit — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Hot flashes, tired all the time, generally feeling unwell · Healthcare visit (other): PcpMedDRA releases: 2024-11 · check-in free text available
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2022-04-11
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Flushing
Release 6 — day 14, dose 1
Symptoms: A rash started at injection site on day 8 that is hot, raised, and slightly itchy/painful. It started improving then got worse. It is improving again today. Had aches, fatigue, and sore throat a couple days ago that went away the following day.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Shooting pains
Release 7 — day 14, dose 2
Symptoms: Last Saturday I woke up with stomach ache which turned into severe stomach pains at night. I threw up about 5 times and slowly improved over the next several days
Release 8 — day 35, dose 2
Symptoms: A few days ago I got body aches/shooting pains with chills. Temperature was 100. It was gone by the next morning.
Release 8 — day 42, dose 2
Symptoms: I have realized that my IC symptoms have been worse since the first shot so I think it has influenced that. I still have days where I start to feel sick, but the symptoms resolve by the next morning and have been getting less and less severe.
Release 11 — 12 months, dose 2
Symptoms: Hot flashes, tired all the time, generally feeling unwell
Healthcare visit (other): Pcp
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hot flush | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release