CBG-10706-44082
4 vaccinations
6 coded responses
52 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 945 / CA
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Registered in v-safe
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2020-12-24
Dose 1 — Moderna
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2020-12-24
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2020-12-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
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2021-01-07
Survey response — day 14, dose 1MedDRA: Injection site urticaria, Self-medication — Feeling: GoodFree text: Hives on upper arm. Same arm as vaccine. Started below the injection site with two hives and became two or three larger hives more towards the injection site. Onset Jan 2nd, 10 days after vaccine. Still ongoing but finally responding to Zyrtec.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
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2021-01-21
Dose 2 — Moderna
- 2021-01-21
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2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-04-22
- 2021-07-22
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2021-11-18
Dose 3 — Moderna
- 2021-11-18
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2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
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2022-02-17
Survey response — 3 months, dose 3MedDRA: Chills, Cough, Pain, SARS-CoV-2 test negative, Wheezing — Feeling: GoodFree text: Wheezing cough, body ache, chills. May have been exposed to kitchen smoke/exhaust. Resolved in about one week. Rapid home covid test was negative on day one. Did not repeat testing and stayed home.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
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2022-09-29
Dose 4 — Pfizer-BioNTechCo-administered: Flu
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2022-10-02
Survey response — days 1–6 daily, dose 4MedDRA: Chills, Pain — Feeling: Good · Site: PainFree text: chills and body ache first two daysMedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-04
Health check-in — days 1–6 daily, dose 4Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-10-05
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
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2022-11-10
Survey response — day 42, dose 4MedDRA: Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: nauseaMedDRA releases: 2024-11 · check-in free text available
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2022-12-29
Survey response — 3 months, dose 4MedDRA: Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: pregnancyMedDRA releases: 2024-11 · check-in free text available
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2023-03-30
Survey response — 6 months, dose 4MedDRA: Pregnancy — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-09-29 | Pfizer-BioNTech | Flu |
Free text
Release 1 — day 14, dose 1
Symptoms: Hives on upper arm. Same arm as vaccine. Started below the injection site with two hives and became two or three larger hives more towards the injection site. Onset Jan 2nd, 10 days after vaccine. Still ongoing but finally responding to Zyrtec.
Release 11 — 3 months, dose 3
Symptoms: Wheezing cough, body ache, chills. May have been exposed to kitchen smoke/exhaust. Resolved in about one week. Rapid home covid test was negative on day one. Did not repeat testing and stayed home.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): chills and body ache first two days
Release 12 — day 42, dose 4
Symptoms: nausea
Release 12 — 3 months, dose 4
Symptoms: pregnancy
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Injection site urticaria | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release