256-15359-49255
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 678 / KS
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-30
Registered in v-safe
-
2021-04-30
Dose 1 — Moderna
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2021-04-30
Survey response — day 0, dose 1MedDRA: Immediate post-injection reaction, Pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: With in 2 minutes of getting the shot my back spasmed and my chest tightened and was hard to breathe. I will say it lasted close to 1 minute. Scared the shit out of me. As of now my back is a constant mild pain. At the time of the spasm it was severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Good · Fatigue or tirednessFree text: Still a little back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
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2021-05-09
Survey response — day 7, dose 1MedDRA: Dysphagia, Illness, Office visit, Pyrexia — Feeling: GoodFree text: Tuesday I started getting sick. It was hard to swallow. I didn't say anything on here about it cause I didn't think it was due to the shot. Friday I went to the Dr. And was tested for strep, it came back negative. I ran a fever Tuesday through Saturday. I told my Dr. About the reaction I had to the shot. Just wanted you to know this info.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
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2021-05-23
Survey response — day 21, dose 1MedDRA: Arthralgia, Pain — Feeling: FairFree text: My hips are killing me. I am having a hard time to walk.My body hurts all over.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Dose 2 — Moderna
- 2021-05-28
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2021-05-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-05-30
- 2021-05-31
- 2021-06-01
- 2021-06-02
- 2021-06-03
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-26
- 2021-07-02
- 2021-07-11
- 2021-08-29
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2021-11-26
Survey response — 6 months, dose 2MedDRA: COVID-19, Hospitalisation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Got Covid again and ended up the hospital for 5 daysMedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Moderna | |
| 2 | 2021-05-28 | Moderna |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): With in 2 minutes of getting the shot my back spasmed and my chest tightened and was hard to breathe. I will say it lasted close to 1 minute. Scared the shit out of me. As of now my back is a constant mild pain. At the time of the spasm it was severe.
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Still a little back pain
Release 8 — day 7, dose 1
Systemic reaction (other): Tuesday I started getting sick. It was hard to swallow. I didn't say anything on here about it cause I didn't think it was due to the shot. Friday I went to the Dr. And was tested for strep, it came back negative. I ran a fever Tuesday through Saturday. I told my Dr. About the reaction I had to the shot. Just wanted you to know this info.
Release 8 — day 21, dose 1
Symptoms: My hips are killing me. I am having a hard time to walk.My body hurts all over.
Release 10 — 6 months, dose 2
Symptoms: Got Covid again and ended up the hospital for 5 days
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dysphagia | ✓ | ✓ | ✓ |
| SRO | Illness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release