D3X-23389-74421
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 930 / CA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
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2021-01-12
Dose 1 — Moderna
- 2021-01-12
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Insomnia — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: I may be tired due to not enough sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Neck on injection side a bit stiff today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-19
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-01-26
- 2021-02-02
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2021-02-09
Dose 2 — Moderna
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2021-02-09
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, NauseaAdult check-in
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to workFree text: Dizziness, loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Loss of appetite, couple bouts of mild dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, NauseaAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-02-16
- 2021-02-24
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2021-03-02
Survey response — day 21, dose 2MedDRA: Ear pain, Nasopharyngitis, Upper-airway cough syndrome — Feeling: FairFree text: Sore ears, post nasal drip, feel kinda like getting a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-03-24
- 2021-05-13
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2021-08-12
Survey response — 6 months, dose 2MedDRA: Pregnancy — 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 · Telehealth, virtual health, or email health consultationFree text: Got pregnant, being tested for gestational diabetes.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-12
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-08-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I may be tired due to not enough sleep.
Systemic reaction (other): Neck on injection side a bit stiff today.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness, loss of appetite
Systemic reaction (other): Loss of appetite, couple bouts of mild dizziness
Release 4 — day 21, dose 2
Symptoms: Sore ears, post nasal drip, feel kinda like getting a cold.
Release 9 — 6 months, dose 2
Symptoms: Got pregnant, being tested for gestational diabetes.
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 | Ear pain | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release