CP9-17146-97842
2 vaccinations
9 coded responses
17 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 952 / CA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-18
Registered in v-safe
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2021-01-18
Dose 1 — Moderna
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2021-01-18
Survey response — day 0, dose 1MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Numbness in faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Report sent to call center — day 0, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Sore/raspy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
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2021-02-01
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site nodule, Injection site pain, Injection site pruritus, Injection site rash, Rash, Urticaria — Feeling: Good · Be unable to do your normal daily activitiesFree text: I developed a rash at the abjection site that was red, bumpy and itchy. Painful to the touch. It looked like hives. It did not go away until about 5 days. The redness is gone but is still itchy. No longer painful. I also developed bumps on my chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — day 21, dose 1MedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
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2021-02-16
Dose 2 — Moderna
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Nausea, DiarrheaAdult check-in
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2021-02-23
Survey response — day 7, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Cloudy mindMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 14, dose 2MedDRA: Abdominal pain — Feeling: FairFree text: Abdominal pain( Im not on my period)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-18
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2021-03-23
Survey response — day 35, dose 2MedDRA: Fatigue, Pain in extremity, Rhinorrhoea — Feeling: FairFree text: My arm has been hurting, runny nose and fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
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2021-08-17
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: FairFree text: PregnantMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-16 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Numbness in face
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sore/raspy throat
Systemic reaction (other): Sore throat
Release 3 — day 14, dose 1
Symptoms: I developed a rash at the abjection site that was red, bumpy and itchy. Painful to the touch. It looked like hives. It did not go away until about 5 days. The redness is gone but is still itchy. No longer painful. I also developed bumps on my chest cut off by CDC
Release 3 — day 21, dose 1
Symptoms: Runny nose
Release 4 — day 7, dose 2
Systemic reaction (other): Cloudy mind
Release 4 — day 14, dose 2
Symptoms: Abdominal pain( Im not on my period)
Release 6 — day 35, dose 2
Symptoms: My arm has been hurting, runny nose and fatigue.
Release 9 — 6 months, dose 2
Symptoms: Pregnant
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site nodule | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release