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23U-14125-69330

2 vaccinations 2 coded responses 4 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
425 / KY
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Dose 1 — Moderna
  2. 2021-03-10
    Registered in v-safe
  3. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Mobility decreased, Pain in extremity — Feeling: Good · Site: Pain, Itching · Be unable to do your normal daily activities
    Free text: Severe pain in my arm on day 2 and could not lift my arm above shldr level, also had tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  5. 2021-03-15
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  6. 2021-04-06
    Dose 2 — Moderna
  7. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Fatigue, Influenza like illness, Migraine, Office visit, Pain, Pyrexia, Rash, Vaccine positive rechallenge — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Yes!! On 04/07/2121 the day after my second vaccine, I woke up with a 103.5 F degree temp, severe migraine and body aches, fatigue severe, chills like a BAD flu!!! For over a day. Temp finally came down to 100 and now Nl, but BAD rash and its spreading. Had this after my first shot too. Went to dr and reported this.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna
22021-04-06Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Severe pain in my arm on day 2 and could not lift my arm above shldr level, also had tiredness

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Yes!! On 04/07/2121 the day after my second vaccine, I woke up with a 103.5 F degree temp, severe migraine and body aches, fatigue severe, chills like a BAD flu!!! For over a day. Temp finally came down to 100 and now Nl, but BAD rash and its spreading. Had this after my first shot too. Went to dr and reported this.

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
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROVaccine positive rechallenge ✓ ✓ ✓

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