24V-72206-63464
3 vaccinations
8 coded responses
21 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 723 / AR
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
XNP-25333-66084
Child or adolescent in my care · Male · 2022-04-26
C4F-23824-85943
Child or adolescent in my care · Male · 2022-04-26
Timeline
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2021-01-12
Dose 1 — Moderna
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2021-01-21
Registered in v-safe
- 2021-01-21
- 2021-01-26
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2021-02-02
Survey response — day 21, dose 1MedDRA: Abdominal pain — Feeling: FairFree text: I have pain in my abdomen. I will be testing to rule out gallstones before I blame the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Dose 2 — Moderna
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2021-02-09
Survey response — day 0, dose 2MedDRA: Asthma, Pre-existing disease — Feeling: Fair · HeadacheFree text: Mild asthma attackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: My hand went numb for about 30 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: My hand gets numb even if my arm is straight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: Intermittent numbness in my arm and hand in injection side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
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2021-02-16
Survey response — day 7, dose 2MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tirednessFree text: I suffer from peripheral neuropathy as a breast cancer survivor. My neuropathy has been flailing more since the shot. I am more fatigued due to this.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
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2021-05-11
Survey response — 3 months, dose 2MedDRA: Asthma, Pre-existing disease — Feeling: GoodFree text: More asthma attacksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-10
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2021-11-05
Dose 3 — Moderna
- 2022-02-09
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2022-05-06
Survey response — 6 months, dose 3MedDRA: Adverse food reaction — Feeling: GoodFree text: I have developed a sensitivity to peanuts.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Free text
Release 3 — day 21, dose 1
Symptoms: I have pain in my abdomen. I will be testing to rule out gallstones before I blame the shot.
Release 3 — day 0, dose 2
Systemic reaction (other): Mild asthma attack
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My hand went numb for about 30 minutes.
Systemic reaction (other): My hand gets numb even if my arm is straight.
Systemic reaction (other): Intermittent numbness in my arm and hand in injection side.
Release 4 — day 7, dose 2
Systemic reaction (other): I suffer from peripheral neuropathy as a breast cancer survivor. My neuropathy has been flailing more since the shot. I am more fatigued due to this.
Release 8 — 3 months, dose 2
Symptoms: More asthma attacks
Release 11 — 6 months, dose 3
Symptoms: I have developed a sensitivity to peanuts.
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 pain | ✓ | ✓ | ✓ |
| SD | Adverse food reaction | · | · | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release