BJ3-81630-28614
4 vaccinations
8 coded responses
27 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 972 / OR
- Registered
- 2021-10-24
- Relationship
- Other
- Guardian
- 2AJ-99447-66431
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-02-09
Dose 2 — Moderna
-
2021-10-24
Registered in v-safe
-
2021-10-24
Dose 3 — Moderna
-
2021-10-24
Health check-in — day 0, dose 3, dependentFeeling: Fair · Site: Pain · Fever · ChillsAdult check-in
-
2021-10-25
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
-
2022-01-23
Survey response — 3 months, dose 3, dependentMedDRA: Pre-existing disease, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: UTI- unrelated. Have these about 2x a year prior to initial covid19 moderna vax.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-23
Report sent to call center — 3 months, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-25
-
2022-01-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-03-31
Dose 4 — Moderna
-
2022-04-01
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Brain fog, Fatigue, Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: substantial brain fog; none of this w 1st boost-but never brain fog-m8ght just be tired, no sleep w this last nightMedDRA releases: 2024-11 · check-in free text available
-
2022-04-03
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Headache, Pain, Pyrexia — Feeling: Good · Site: PainFree text: the fever, body aches, headaaches were only the 24hrs after the 2nd boost-ok nowMedDRA releases: 2024-11 · check-in free text available
-
2022-04-04
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Injection site pain — Feeling: GoodFree text: left arm injection site tiny bit sore but resolvingMedDRA releases: 2024-11 · check-in free text available
- 2022-04-05
- 2022-04-06
-
2022-04-07
Survey response — day 7, dose 4, dependentMedDRA: No adverse event — Feeling: GoodFree text: feel great & grateful for 2nd booster!MedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Survey response — day 14, dose 4, dependentMedDRA: Mood altered — Feeling: Good · Be unable to work or attend schoolFree text: Had a strange day of an extremely bad mood yesterday-but dont think it was relayed to the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
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2022-04-28
Survey response — day 28, dose 4, dependentMedDRA: Diarrhoea, Flatulence, Gastrointestinal disorder, Self-medication — Feeling: GoodFree text: Monday (today Thurs) had moderate digestive disturbances-had to take pepto, by evening was normal. A bit of a loose stool & lots of gas, wasnt food poisoning by look of stool. Fine now back to normal.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
- 2022-05-12
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2022-06-30
Survey response — 3 months, dose 4, dependentMedDRA: Acupuncture, Arthralgia, Myalgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Wierd muscle aches & join pain-but feel its more body mechanics than anything else · Healthcare visit (other): acupuncture for muscle achesMedDRA releases: 2024-11 · check-in free text available
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2022-06-30
Report sent to call center — 3 months, dose 4, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | No |
| 2 | 2021-02-09 | Moderna | No |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-03-31 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 11 — 3 months, dose 3, dependent
Symptoms: UTI- unrelated. Have these about 2x a year prior to initial covid19 moderna vax.
Release 11 — days 1–6 daily, dose 4, dependent
Systemic reaction (other): substantial brain fog; none of this w 1st boost-but never brain fog-m8ght just be tired, no sleep w this last night
Systemic reaction (other): the fever, body aches, headaaches were only the 24hrs after the 2nd boost-ok now
Systemic reaction (other): left arm injection site tiny bit sore but resolving
Release 11 — day 7, dose 4, dependent
Systemic reaction (other): feel great & grateful for 2nd booster!
Release 11 — day 14, dose 4, dependent
Symptoms: Had a strange day of an extremely bad mood yesterday-but dont think it was relayed to the vaccine.
Release 11 — day 28, dose 4, dependent
Symptoms: Monday (today Thurs) had moderate digestive disturbances-had to take pepto, by evening was normal. A bit of a loose stool & lots of gas, wasnt food poisoning by look of stool. Fine now back to normal.
Release 12 — 3 months, dose 4, dependent
Symptoms: Wierd muscle aches & join pain-but feel its more body mechanics than anything else
Healthcare visit (other): acupuncture for muscle aches
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 |
|---|---|---|---|---|
| HCVO | Acupuncture | · | · | ✓ |
| HCVO | Myalgia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Mood altered | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release