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5JP-26577-49536

4 vaccinations 8 coded responses 25 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
711 / LA
Registered
2021-04-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-04-22
    Dose 2 — Moderna
  3. 2021-04-27
    Registered in v-safe
  4. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heavy menstrual bleeding — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Heavy menstrual cycle
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Fatigue or tiredness
    Adult check-in
  6. 2021-04-29
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  7. 2021-05-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-05-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-05-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-06-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-07-22
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-10-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-11-29
    Dose 3 — Moderna
  14. 2021-11-29
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-11-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-12-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Heartburn yesterday, despite not eating much
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-12-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  18. 2021-12-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Fatigue or tiredness
    Free text: Noticed for a few days that my lymph nodes in my arm are swollen and hurting slightly.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-12-06
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-12-13
    Survey response — day 14, dose 3
    MedDRA: Arthralgia, Dyspepsia, Eczema, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Eczema rash (pre-existing condition) bad breakout, heartburn, shoulder pain
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-12-20
    Survey response — day 21, dose 3
    MedDRA: Diarrhoea, Dyspepsia, Hand dermatitis, Migraine, Urticaria, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Hives popping up on neck, chin, chest, back, abdomen, arms, legs, hands, feet (now under control), eczema on hands, heartburn (now under control), one day of migraine with vomiting and diarrhea (now under control)
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-12-27
    Survey response — day 28, dose 3
    MedDRA: Dyspepsia, Self-medication, Urticaria — Feeling: Fair
    Free text: Still dealing with hives and heartburn occasionally, treated with steroids and antihistamines
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-01-03
    Survey response — day 35, dose 3
    MedDRA: Abdominal discomfort, Dyspepsia, Office visit, Rectal haemorrhage, Self-medication, Urticaria — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Still have mild hives. Taking Claritin and Benadryl still in accordance with urgent care doctor's advice. Also have had some bleeding from the rectum and stomach upset. Heartburn has finally stopped.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-01-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-02-28
    Survey response — 3 months, dose 3
    MedDRA: Dyspepsia, Urticaria — Feeling: Fair
    Free text: Still treating my hives and heartburn
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-06-01
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  28. 2022-09-23
    Dose 4 — Moderna
    Co-administered: Flu
  29. 2022-10-21
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  30. 2023-03-24
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-22Moderna
32021-11-29Moderna No
42022-09-23Moderna Flu

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Heavy menstrual cycle

Release 10 — days 1–6 daily, dose 3

2021-12-01

Systemic reaction (other): Heartburn yesterday, despite not eating much

2021-12-03

Systemic reaction (other): Noticed for a few days that my lymph nodes in my arm are swollen and hurting slightly.

Release 10 — day 14, dose 3

2021-12-13

Symptoms: Eczema rash (pre-existing condition) bad breakout, heartburn, shoulder pain

Release 10 — day 21, dose 3

2021-12-20

Symptoms: Hives popping up on neck, chin, chest, back, abdomen, arms, legs, hands, feet (now under control), eczema on hands, heartburn (now under control), one day of migraine with vomiting and diarrhea (now under control)

Release 10 — day 28, dose 3

2021-12-27

Symptoms: Still dealing with hives and heartburn occasionally, treated with steroids and antihistamines

Release 10 — day 35, dose 3

2022-01-03

Symptoms: Still have mild hives. Taking Claritin and Benadryl still in accordance with urgent care doctor's advice. Also have had some bleeding from the rectum and stomach upset. Heartburn has finally stopped.

Release 11 — 3 months, dose 3

2022-02-28

Symptoms: Still treating my hives and heartburn

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 · · ✓
SDArthralgia · · ✓
SDDiarrhoea · · ✓
SDDyspepsia · · ✓
SDEczema · · ✓
SDHand dermatitis · · ✓
SDMigraine · · ✓
SDOffice visit · · ✓
SDPre-existing disease · · ✓
SDRectal haemorrhage · · ✓
SDSelf-medication · · ✓
SDUrticaria · · ✓
SDVomiting · · ✓
SRODyspepsia · · ✓
SROHeavy menstrual bleeding ✓ ✓ ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓

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