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
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2021-03-17
Dose 1 — Moderna
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2021-04-11
Registered in v-safe
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2021-04-11
Survey response — day 21, dose 1MedDRA: Fatigue, Nausea, Pain, Pyrexia — Feeling: GoodFree text: Nausea, fatigue, low fever, body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Dose 2 — Moderna
- 2021-04-21
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2021-04-28
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Nausea and stomach pain. Headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — day 21, dose 2MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach upset, diarheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — day 28, dose 2MedDRA: Arthralgia, Brain fog, Pre-existing disease, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
- 2021-05-19
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2021-05-26
Survey response — day 42, dose 2MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activitiesFree text: 2 days of vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Survey response — 3 months, dose 2MedDRA: Abdominal discomfort, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fever 2-3 x per week. Stomach upset.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-14
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2022-04-14
Survey response — 12 months, dose 2MedDRA: Arthralgia, Chills, Headache, Myalgia, Peripheral swelling, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Very swollen arm, high fever, chills, muscle and joint pain, headache after 4th dose of ModernaMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna |
Free text
Release 7 — day 21, dose 1
Symptoms: Nausea, fatigue, low fever, body aches
Release 8 — day 14, dose 2
Symptoms: Nausea and stomach pain. Headache.
Release 8 — day 21, dose 2
Symptoms: Stomach upset, diarhea
Release 8 — day 28, dose 2
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
Symptoms: 2 days of vertigo
Release 9 — 3 months, dose 2
Symptoms: Fever 2-3 x per week. Stomach upset.
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release