S3Q-80282-81652
3 vaccinations
3 coded responses
36 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 945 / CA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
GMB-31895-78951
Child or adolescent in my care · Male · 2022-06-28
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
- 2021-03-19
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain — Feeling: Good · Site: PainFree text: Last night- 29 hrs post shot I had extreme pain in the shot area, body ache and hip pain. It all subsided by this morning when I woke up. Very mild sore arm today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
- 2021-04-18
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Good · HeadacheFree text: A bit congestedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-08
- 2021-05-14
- 2021-05-21
- 2021-06-01
- 2021-07-16
- 2021-10-15
-
2022-01-08
Dose 3 — Moderna
-
2022-01-09
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Chest felt tightMedDRA releases: 2024-11 · check-in free text available
-
2022-01-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains · Be unable to work or attend schoolAdult check-in
-
2022-01-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains · Be unable to work or attend schoolAdult check-in
- 2022-01-14
- 2022-01-17
- 2022-01-23
- 2022-01-29
- 2022-02-05
- 2022-02-12
- 2022-02-23
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2022-01-08 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Last night- 29 hrs post shot I had extreme pain in the shot area, body ache and hip pain. It all subsided by this morning when I woke up. Very mild sore arm today.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): A bit congested
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Chest felt tight
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release