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5DH-32414-84229

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
960 / CA
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-03
    Dose 2 — Moderna
  12. 2021-03-03
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Good · Site: Pain
    Free text: Have had edema around my ankles since receiving the shot, not sure if it's vaccine related or not.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Inflammation, Oedema peripheral, Pain in extremity — Feeling: Good · Site: Itching
    Free text: Soreness in arm disappeared today along with 8 lbs of body inflammation and the ankle edema I reported yesterday. Today I figured out I should have been reporting the edema since the first day, but I didnt realize it was related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-02
    Survey response — 3 months, dose 2
    MedDRA: Apathy, Lethargy, Oedema peripheral — Feeling: Good · Be unable to do your normal daily activities
    Free text: Ankle and leg edemaLethergyLack of enthusiasm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-09-02
    Survey response — 6 months, dose 2
    MedDRA: Fatigue — Feeling: Fair
    Free text: Extreme fatigue
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2022-03-05
    Survey response — 12 months, dose 2
    MedDRA: Abdominal discomfort, Decreased appetite, Dysgeusia — Feeling: Fair
    Free text: Gastro distress, weird sense of taste, lack of appetite
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

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

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): None

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Have had edema around my ankles since receiving the shot, not sure if it's vaccine related or not.

2021-03-08

Systemic reaction (other): Soreness in arm disappeared today along with 8 lbs of body inflammation and the ankle edema I reported yesterday. Today I figured out I should have been reporting the edema since the first day, but I didnt realize it was related.

Release 8 — 3 months, dose 2

2021-06-02

Symptoms: Ankle and leg edemaLethergyLack of enthusiasm

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: Extreme fatigue

Release 11 — 12 months, dose 2

2022-03-05

Symptoms: Gastro distress, weird sense of taste, lack of appetite

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 · · ✓
SDApathy ✓ ✓ ✓
SDDecreased appetite · · ✓
SDDysgeusia · · ✓
SDFatigue ✓ · ✓
SDLethargy ✓ ✓ ✓
SDOedema peripheral ✓ ✓ ✓
SROInflammation ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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