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CNE-23111-15006

3 vaccinations 7 coded responses 15 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
280 / NC
Registered
2021-03-12
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Dose 1 — Moderna
  2. 2021-03-12
    Registered in v-safe
  3. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  4. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  5. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  6. 2021-03-17
    Survey response — day 7, dose 1
    MedDRA: Night sweats — Feeling: Fair · Chills, Headache, Muscle or body aches, Diarrhea, Abdominal pain
    Free text: Night cold sweats since receiving the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-07
    Dose 2 — Moderna
  8. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy, Pregnancy test positive — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: I just found out Im pregnant using an at home pregnancy test.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-16
    Survey response — day 7, dose 2
    MedDRA: Pregnancy — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: 3-5 weeks pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-21
    Survey response — day 14, dose 2
    MedDRA: Urticaria — Feeling: Good · Be unable to do your normal daily activities
    Free text: I broke out in hives on my hands Saturday and continued to spread Sunday and Monday to my legs butt elbows and feet. I believe its from a new body wash but the intensity and continued reappearance of hives over 3 days has not happened before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-10-07
    Dose 3 — Moderna
  14. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-10-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free text: Neck pain on same side as shot
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-10-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Neck pain, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Neck pain and swollen arm pit on same side as shot,
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Neck pain on left side (same side as shot)
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-10-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  19. 2021-10-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna
32021-10-07Moderna No

Free text

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Night cold sweats since receiving the shot

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): I just found out Im pregnant using an at home pregnancy test.

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): 3-5 weeks pregnant

Release 7 — day 14, dose 2

2021-04-21

Symptoms: I broke out in hives on my hands Saturday and continued to spread Sunday and Monday to my legs butt elbows and feet. I believe its from a new body wash but the intensity and continued reappearance of hives over 3 days has not happened before.

Release 10 — days 1–6 daily, dose 3

2021-10-08

Systemic reaction (other): Neck pain on same side as shot

2021-10-10

Systemic reaction (other): Neck pain and swollen arm pit on same side as shot,

2021-10-11

Systemic reaction (other): Neck pain on left side (same side as shot)

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
SDUrticaria ✓ ✓ ✓
SRONeck pain · · ✓
SRONight sweats ✓ ✓ ✓
SROOedema peripheral · · ✓
SROPregnancy ✓ ✓ ✓
SROPregnancy test positive ✓ ✓ ✓

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