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Y59-10065-79430

2 vaccinations 7 coded responses 10 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
952 / CA
Registered
2021-04-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Dose 1 — Moderna
  2. 2021-04-11
    Registered in v-safe
  3. 2021-04-11
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Nausea, Pain, Pyrexia — Feeling: Good
    Free text: Nausea, fatigue, low fever, body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-14
    Dose 2 — Moderna
  5. 2021-04-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-04-28
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain upper, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Nausea and stomach pain. Headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-05
    Survey response — day 21, dose 2
    MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Stomach upset, diarhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-12
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Brain fog, Pre-existing disease, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: In Feb- Mar 2020 I had severe illness which my Dr thinks was Covid. No testing was available. I have since had 2-3 days per week of persistant weird symptoms that continue. Fevers up to 101 that last a few hours, aching joints, bad brain fog.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-19
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-05-26
    Survey response — day 42, dose 2
    MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activities
    Free text: 2 days of vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-07-14
    Survey response — 3 months, dose 2
    MedDRA: Abdominal discomfort, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Fever 2-3 x per week. Stomach upset.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-10-14
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  13. 2022-04-14
    Survey response — 12 months, dose 2
    MedDRA: Arthralgia, Chills, Headache, Myalgia, Peripheral swelling, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Very swollen arm, high fever, chills, muscle and joint pain, headache after 4th dose of Moderna
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-14Moderna

Free text

Release 7 — day 21, dose 1

2021-04-11

Symptoms: Nausea, fatigue, low fever, body aches

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Nausea and stomach pain. Headache.

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Stomach upset, diarhea

Release 8 — day 28, dose 2

2021-05-12

Symptoms: In Feb- Mar 2020 I had severe illness which my Dr thinks was Covid. No testing was available. I have since had 2-3 days per week of persistant weird symptoms that continue. Fevers up to 101 that last a few hours, aching joints, bad brain fog.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: 2 days of vertigo

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Fever 2-3 x per week. Stomach upset.

Release 11 — 12 months, dose 2

2022-04-14

Symptoms: Very swollen arm, high fever, chills, muscle and joint pain, headache after 4th dose of Moderna

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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDBrain fog ✓ ✓ ✓
SDChills · · ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMyalgia · · ✓
SDNausea ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPeripheral swelling · · ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDVertigo ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release