GUA-99816-37502
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 990 / WA
- Registered
- 2021-08-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-28
Dose 1 — Moderna
-
2021-08-30
Registered in v-safe
-
2021-08-30
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite, Lymphadenopathy, Paraesthesia — Feeling: Poor · Site: Pain, Redness, Swelling · 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: Lack of appetite, swollen nymph nodes in armpit that sometimes radiates through the side of my breast, at moments my whole arm experiences tingling sensationsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-31
Survey response — days 1–6 daily, dose 1MedDRA: Breast pain, Lymph node pain, Pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Lymph node pain in armpit that radiates into my breastMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-09-02
- 2021-09-03
- 2021-09-04
- 2021-09-11
- 2021-09-18
-
2021-09-24
Dose 2 — Moderna
- 2021-09-24
-
2021-09-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-09-28
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-30
- 2021-11-05
-
2021-12-24
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend schoolFree text: Pregnancy which resulted in miscarriageMedDRA releases: 2024-11 · check-in free text available
- 2022-03-25
- 2022-09-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-28 | Moderna | No |
| 2 | 2021-09-24 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Lack of appetite, swollen nymph nodes in armpit that sometimes radiates through the side of my breast, at moments my whole arm experiences tingling sensations
Systemic reaction (other): Lymph node pain in armpit that radiates into my breast
Release 10 — 3 months, dose 2
Symptoms: Pregnancy which resulted in miscarriage
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 | Abortion spontaneous | · | · | ✓ |
| SRO | Breast pain | ✓ | · | ✓ |
| SRO | Decreased appetite | ✓ | · | ✓ |
| SRO | Lymph node pain | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | · | ✓ |
| SRO | Pain | ✓ | · | ✓ |
| SRO | Paraesthesia | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release