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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

  1. 2021-02-11
    Dose 1 — Moderna
  2. 2021-02-17
    Registered in v-safe
  3. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gastrointestinal disorder, Injection site pain — Feeling: Fair · Site: Pain · Diarrhea, Abdominal pain
    Free 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
  4. 2021-02-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-04
    Survey response — day 21, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free 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
  7. 2021-03-13
    Dose 2 — Moderna
  8. 2021-03-13
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Diarrhea, Abdominal pain
    Adult check-in
  9. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  10. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Abdominal pain
    Adult check-in
  11. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Diarrhea, Abdominal pain
    Adult check-in
  12. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Abdominal pain
    Adult check-in
  13. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Abdominal pain
    Adult check-in
  14. 2021-03-20
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains, Abdominal pain
    Adult check-in
  15. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-10
    Survey response — day 28, dose 2
    MedDRA: Blood glucose fluctuation, Dizziness, Lethargy — Feeling: Fair
    Free 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
  18. 2021-04-17
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-04-24
    Survey response — day 42, dose 2
    MedDRA: Abdominal discomfort, Dizziness, Fatigue, Hypoaesthesia, Lymph node pain, Migraine, Nausea — Feeling: Fair
    Free 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 short
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-06-12
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-09-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-03-13
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-13Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): 1st week sore arm at injection sight. 2nd week mild abdominal symptoms.

Release 5 — day 21, dose 1

2021-03-04

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

2021-03-14

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

2021-04-10

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

2021-04-24

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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort ✓ ✓ ✓
SDBlood glucose fluctuation ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDLethargy ✓ ✓ ✓
SDLymph node pain ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROGastrointestinal disorder ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release