579-24318-69129
2 vaccinations
7 coded responses
26 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 917 / CA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Registered in v-safe
-
2021-04-05
Dose 1 — Moderna
-
2021-04-05
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · ChillsFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: My arm is no longer sore, but I can feel it if I touch the injection area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
- 2021-04-26
-
2021-05-04
Dose 2 — Moderna
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2021-05-04
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
-
2021-05-18
Survey response — day 14, dose 2MedDRA: Chills, Dizziness, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizzy to the point of feeling nauseous. ChillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Survey response — day 21, dose 2MedDRA: Dizziness, Nausea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Very dizzy to the point of being nauseousMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Survey response — day 28, dose 2MedDRA: Nausea, Pyrexia, Renal pain — Feeling: GoodFree text: I had a slight fever that went up and down a lot for two days. I was nauseous and My kidneys hurt. I am a person who is RARELY ever sick. Since I had my 2nd shot I get something each Wednesday. Now our 23 yr old daughter shows weird ailments, tooMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
- 2021-06-15
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2021-08-03
Survey response — 3 months, dose 2MedDRA: Muscular weakness, Pain in extremity, Sleep disorder, Vasodilatation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My left leg started aching 10 days after my first shot and its progressively getting worse. My veins are raised on my leg. Aching keeps me awake at night; I have weakness when I do my daily 5k going uphill or up curbs.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-02
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2022-05-04
Survey response — 12 months, dose 2MedDRA: COVID-19, Emergency care, Office visit, Pneumothorax, Pulmonary fibrosis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I went to the pulmonologist, had an X-ray and CAT scan. I have a partial collapsed lung and 10% scarring in both lungs. Both my GP and pulmonologist attribute this to COVID.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-04 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): No
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): My arm is no longer sore, but I can feel it if I touch the injection area.
Release 8 — day 14, dose 2
Symptoms: Dizzy to the point of feeling nauseous. Chills
Release 8 — day 21, dose 2
Symptoms: Very dizzy to the point of being nauseous
Release 8 — day 28, dose 2
Symptoms: I had a slight fever that went up and down a lot for two days. I was nauseous and My kidneys hurt. I am a person who is RARELY ever sick. Since I had my 2nd shot I get something each Wednesday. Now our 23 yr old daughter shows weird ailments, too cut off by CDC
Release 9 — 3 months, dose 2
Symptoms: My left leg started aching 10 days after my first shot and its progressively getting worse. My veins are raised on my leg. Aching keeps me awake at night; I have weakness when I do my daily 5k going uphill or up curbs.
Release 11 — 12 months, dose 2
Symptoms: I went to the pulmonologist, had an X-ray and CAT scan. I have a partial collapsed lung and 10% scarring in both lungs. Both my GP and pulmonologist attribute this to COVID.
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 | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Muscular weakness | ✓ | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Pneumothorax | · | · | ✓ |
| SD | Pulmonary fibrosis | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Renal pain | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | · | ✓ |
| SD | Vasodilatation | ✓ | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release