57N-27622-80163
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 932 / CA
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
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2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Gastrointestinal disorder, Injection site pain — Feeling: Fair · Site: Pain · Diarrhea, Abdominal painFree text: 1st week sore arm at injection sight. 2nd week mild abdominal symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
-
2021-03-04
Survey response — day 21, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen glands on the right side of my neck. Started on feb. 26 lasted 3 days then went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Dose 2 — Moderna
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2021-03-13
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Diarrhea, Abdominal painAdult check-in
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: I came down with the above symptoms 10 hours exactly from the time of the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
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2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Diarrhea, Abdominal painAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
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2021-04-10
Survey response — day 28, dose 2MedDRA: Blood glucose fluctuation, Dizziness, Lethargy — Feeling: FairFree text: Blood sugar levels seem to be off and on. Im not sure it its related to the vaccine, but I havent issues with it before. I have been experiencing lethargy, light-headedness, what feels like low blood sugar...i feel better after I eat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
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2021-04-24
Survey response — day 42, dose 2MedDRA: Abdominal discomfort, Dizziness, Fatigue, Hypoaesthesia, Lymph node pain, Migraine, Nausea — Feeling: FairFree text: In the last 3 week I have experienced; migraines, numbness in feet, light headed, nauseous, fatigue, pinching stomach, sore lymph nodes under arms. I have not felt the same since the first shortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-12
- 2021-09-11
- 2022-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-13 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): 1st week sore arm at injection sight. 2nd week mild abdominal symptoms.
Release 5 — day 21, dose 1
Symptoms: Swollen glands on the right side of my neck. Started on feb. 26 lasted 3 days then went away.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I came down with the above symptoms 10 hours exactly from the time of the shot.
Release 7 — day 28, dose 2
Symptoms: Blood sugar levels seem to be off and on. Im not sure it its related to the vaccine, but I havent issues with it before. I have been experiencing lethargy, light-headedness, what feels like low blood sugar...i feel better after I eat.
Release 7 — day 42, dose 2
Symptoms: In the last 3 week I have experienced; migraines, numbness in feet, light headed, nauseous, fatigue, pinching stomach, sore lymph nodes under arms. I have not felt the same since the first short
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Blood glucose fluctuation | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release