Z3C-33934-36424
3 vaccinations
3 coded responses
30 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 972 / OR
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
- 2021-01-15
- 2021-01-16
-
2021-01-23
Survey response — day 14, dose 1MedDRA: Muscle spasms — Feeling: Good · Be unable to do your normal daily activitiesFree text: Ache/spasm in right back muscles (vaccine was in left arm). Improving daily but has persisted for several days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-02-06
-
2021-02-07
Dose 2 — Moderna
- 2021-02-13
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-05-09
- 2021-08-08
-
2021-11-06
Dose 3 — Moderna
-
2021-11-06
Survey response — day 0, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph node in armpit on same side as shotMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-12
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2022-02-05
-
2022-05-07
Survey response — 6 months, dose 3MedDRA: Nephrolithiasis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Kidney stoneMedDRA releases: 2024-11 · check-in free text available
- 2022-11-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-07 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
Free text
Release 2 — day 14, dose 1
Symptoms: Ache/spasm in right back muscles (vaccine was in left arm). Improving daily but has persisted for several days.
Release 10 — day 0, dose 3
Systemic reaction (other): Swollen lymph node in armpit on same side as shot
Release 11 — 6 months, dose 3
Symptoms: Kidney stone
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 | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release