5DB-21880-38499
4 vaccinations
7 coded responses
52 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 432 / OH
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Chest pain — Feeling: GoodFree text: Last evening I had brief (15 min?) focal L anterior shoulder/collarbone/upper chest wall painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
-
2021-11-12
Dose 3 — Moderna
- 2021-11-14
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain — Feeling: GoodFree text: Brief chest pain, probably unrelated to the vaccine but not sure the causeMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
-
2021-11-26
Survey response — day 14, dose 3MedDRA: Chest pain, Stress — Feeling: GoodFree text: Very mild chest pains that seemed to escalate with stressMedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Survey response — day 21, dose 3MedDRA: Aura, Migraine — Feeling: GoodFree text: Visual aura typical of migraine although I have never had migraine nor aura before. Lasted less than 20 minutes. Fine now.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
- 2022-05-13
-
2022-11-10
Dose 4 — Moderna
- 2022-11-12
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-24
- 2022-12-01
-
2022-12-08
Survey response — day 28, dose 4MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Cold-like symptoms?sore throat, runny nose. Covid tests negative x 2.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-15
- 2022-12-22
-
2023-02-11
Survey response — 3 months, dose 4MedDRA: Fatigue, Nausea — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
-
2023-05-11
Survey response — 6 months, dose 4MedDRA: Abdominal discomfort, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-11-10 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Last evening I had brief (15 min?) focal L anterior shoulder/collarbone/upper chest wall pain
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Brief chest pain, probably unrelated to the vaccine but not sure the cause
Release 10 — day 14, dose 3
Symptoms: Very mild chest pains that seemed to escalate with stress
Release 10 — day 21, dose 3
Symptoms: Visual aura typical of migraine although I have never had migraine nor aura before. Lasted less than 20 minutes. Fine now.
Release 12 — day 28, dose 4
Symptoms: Cold-like symptoms?sore throat, runny nose. Covid tests negative x 2.
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 | Aura | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release