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25B-29767-37191

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
064 / CT
Registered
2021-01-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-18
    Dose 1 — Moderna
  2. 2021-01-19
    Registered in v-safe
  3. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Mild Numbness and tingling in the arm and side of face that got the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Abdominal pain
    Adult check-in
  5. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain, Pain — Feeling: Good · Muscle or body aches
    Free text: Body ache under my vaccine arm like in my lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-15
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-16
    Dose 2 — Moderna
  12. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral, Pain, Pyrexia, Self-medication — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: 2/17 continued fever and significant body aches all day even with Advil. Did not work. Swelling in my armpit on the shot side. Beginning in the evening of 2/16 I had a fever and significant body aches requiring Advil
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Pyrexia — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: After I filled out yesterdays questionnaire I spoke a 102 fever and had significant body aches again
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling
    Free text: Swelling still in armpit/lymph nodes but almost gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-23
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches
    Free text: Still slight swelling in lymph nodes on the shot side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-02-18
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-16Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Mild Numbness and tingling in the arm and side of face that got the shot

2021-01-23

Systemic reaction (other): Body ache under my vaccine arm like in my lymph nodes

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): 2/17 continued fever and significant body aches all day even with Advil. Did not work. Swelling in my armpit on the shot side. Beginning in the evening of 2/16 I had a fever and significant body aches requiring Advil

2021-02-19

Systemic reaction (other): After I filled out yesterdays questionnaire I spoke a 102 fever and had significant body aches again

2021-02-21

Systemic reaction (other): Swelling still in armpit/lymph nodes but almost gone

Release 4 — day 7, dose 2

2021-02-23

Systemic reaction (other): Still slight swelling in lymph nodes on the shot side

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
SROHypoaesthesia ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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

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