B8F-10807-96592
5 vaccinations
6 coded responses
66 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 640 / MO
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 1 — Moderna
-
2021-04-09
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · DiarrheaFree text: Pretty confident this was from food I AteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · DiarrheaAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
-
2021-05-07
Dose 2 — Moderna
- 2021-05-07
-
2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Decreased appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-13
- 2021-06-18
- 2021-08-08
- 2021-11-05
-
2021-12-08
Dose 3 — Moderna
-
2021-12-08
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend schoolAdult check-in
-
2021-12-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-12-11
- 2021-12-12
-
2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Injection site bruising — Feeling: GoodFree text: Bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2021-12-15
-
2021-12-22
Survey response — day 14, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: I think I have a coldMedDRA releases: 2024-11 · check-in free text available
- 2021-12-29
-
2022-01-05
Survey response — day 28, dose 3MedDRA: Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I've had an upper respiratory infection for two weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-01-05
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-12
- 2022-01-19
- 2022-03-09
- 2022-06-08
-
2022-07-18
Dose 4 — Moderna
-
2022-07-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-07-20
-
2022-07-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-07-22
- 2022-07-23
- 2022-07-24
- 2022-07-27
- 2022-08-03
- 2022-08-10
- 2022-08-15
- 2022-08-22
- 2022-08-29
-
2022-10-19
Survey response — 3 months, dose 4MedDRA: Gastrointestinal disorder — Feeling: FairFree text: Digestive issues....i don't believe this is due to the COVID shots I receivedMedDRA releases: 2024-11 · check-in free text available
-
2022-12-08
Dose 5 — ModernaCo-administered: Flu
-
2022-12-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2022-12-10
- 2022-12-11
- 2022-12-12
- 2022-12-13
- 2022-12-14
- 2022-12-15
- 2022-12-22
- 2022-12-29
- 2023-01-05
- 2023-01-12
- 2023-01-19
- 2023-03-09
- 2023-06-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-07 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
| 4 | 2022-07-18 | Moderna | No |
| 5 | 2022-12-08 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Pretty confident this was from food I Ate
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Decreased appetite
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Bruise at injection site
Release 10 — day 14, dose 3
Symptoms: I think I have a cold
Release 10 — day 28, dose 3
Symptoms: I've had an upper respiratory infection for two weeks
Release 12 — 3 months, dose 4
Symptoms: Digestive issues....i don't believe this is due to the COVID shots I received
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 | Gastrointestinal disorder | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release