Z63-19297-76745
5 vaccinations
11 coded responses
37 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 945 / CA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Moderna
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2021-03-25
Dose 2 — Moderna
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2021-03-26
Registered in v-safe
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus — Feeling: Good · Site: SwellingFree text: Itchy injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: SwellingFree text: Itchy but less than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus — Feeling: Good · Site: SwellingFree text: Itchiness at injection site but not as muchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: SwellingFree text: Sweeping is much lessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · None · Be unable to workAdult check-in
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Irritable bowel syndrome — Feeling: GoodFree text: Loose stools, but not sure if due to IBS.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 7, dose 2MedDRA: Diarrhoea, Faeces soft, Inflammatory bowel disease — Feeling: GoodFree text: Soft stools but not sure if it is a result of IBSMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 14, dose 2MedDRA: Abdominal discomfort, Faeces soft — Feeling: GoodFree text: Soft stools and stomach discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
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2021-04-24
Survey response — day 28, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Not sure if related but have a possible very mild shingles outbreakMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-06
- 2021-06-24
- 2021-09-25
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2021-10-28
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-12
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
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2022-04-08
Dose 4 — Moderna
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2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Upper-airway cough syndrome — Feeling: GoodFree text: a tiny bit of post nasal drip but unsure if it is allergy relatedMedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
- 2022-04-22
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2022-04-29
Survey response — day 21, dose 4MedDRA: Abdominal discomfort, Pre-existing disease — Feeling: FairFree text: Stomach upset but not sure if it is related to my IBSMedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
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2022-09-23
Dose 5 — Moderna
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2022-10-07
Survey response — 6 months, dose 4MedDRA: Diarrhoea, Pre-existing disease — Feeling: GoodFree text: Not a new symptoms but my IBS, the past week, has been causing loose stools. I could do normal activities but stayed near a bathroom. Was on a mini vacationMedDRA releases: 2024-11 · check-in free text available
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-09-23 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Itchy injection site
Systemic reaction (other): Itchy but less than yesterday
Systemic reaction (other): Itchiness at injection site but not as much
Systemic reaction (other): Sweeping is much less
Systemic reaction (other): Loose stools, but not sure if due to IBS.
Release 6 — day 7, dose 2
Systemic reaction (other): Soft stools but not sure if it is a result of IBS
Release 7 — day 14, dose 2
Symptoms: Soft stools and stomach discomfort
Release 7 — day 28, dose 2
Symptoms: Not sure if related but have a possible very mild shingles outbreak
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): a tiny bit of post nasal drip but unsure if it is allergy related
Release 11 — day 21, dose 4
Symptoms: Stomach upset but not sure if it is related to my IBS
Release 12 — 6 months, dose 4
Symptoms: Not a new symptoms but my IBS, the past week, has been causing loose stools. I could do normal activities but stayed near a bathroom. Was on a mini vacation
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 | Diarrhoea | · | · | ✓ |
| SD | Faeces soft | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Faeces soft | · | · | ✓ |
| SRO | Inflammatory bowel disease | ✓ | ✓ | ○ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Irritable bowel syndrome | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release