TBU-64134-79960
3 vaccinations
2 coded responses
26 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 947 / CA
- Registered
- 2021-05-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Dose 1 — Moderna
-
2021-05-11
Dose 2 — Moderna
-
2021-05-12
Registered in v-safe
-
2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: Urine abnormality — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Foamy urineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tirednessAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-05-19
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
-
2021-06-22
Survey response — day 42, dose 2MedDRA: Arthralgia, Fatigue, Pre-existing disease, Swelling, Systemic lupus erythematosus — Feeling: Good · Be unable to do your normal daily activitiesFree text: Lupus flare, with joint pain, swelling, and tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-10
- 2021-11-09
-
2022-02-28
Dose 3 — Moderna
- 2022-02-28
-
2022-03-01
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-03-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2022-03-03
- 2022-03-04
- 2022-03-05
- 2022-03-06
- 2022-03-07
- 2022-03-14
- 2022-03-21
- 2022-03-28
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-11 | Moderna | |
| 3 | 2022-02-28 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Foamy urine
Release 9 — day 42, dose 2
Symptoms: Lupus flare, with joint pain, swelling, and tiredness
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
| SRO | Urine abnormality | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release