25F-28118-27603
3 vaccinations
6 coded responses
37 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 724 / AR
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
-
2021-01-19
Survey response — day 0, dose 1MedDRA: Immediate post-injection reaction, Injection site pain, Muscle twitching — Feeling: GoodFree text: Mild stinging at injection site about 20 minutes after vaccination. My muscle twitched when I got the vaccine, so Im assuming thats why it is stinging some.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-20
Dose 2 — Moderna
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Appetite lossMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Please note that these symptoms occurred right at hour 24 following my vaccine, which would have been around 4:30pm on Sunday, February 22. I had already taken my V-Safe assessment prior to these more severe symptoms developing a few hours later. I wanted to make sure I documented these symptoms as having occurred the day after my vaccine. On today/Monday, February 22, two days after my vaccine, I experienced fatigue and tiredness but it has since passed. I am only experiencing some mild tiredness that is not effecting my ability to perform daily functions. The symptoms and assessments listed in this report are documenting the severe late-onset symptoms I experienced 24hrs after my vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral, Pain in extremity, Paraesthesia, Self-medication — Feeling: Good · Site: Pain, ItchingFree text: My arm began last night having what Id describe as referred pain which feels like a dull ache down into the crook of my elbow and forearm and a small tingling feeling in my pinky. Tylenol has proven to alleviate the dull ache. It isnt terribly painful but rather an annoying pain that feels similar to when you sleep on your arm wrong. The occasional tingling feeling feels like when your hand is just started to fall asleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
- 2021-08-21
-
2021-10-28
Dose 3 — Moderna
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Hyperaesthesia teeth, Toothache — Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessFree text: My teeth have felt achey and more sensitive.MedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Hyperaesthesia teeth — Feeling: Good · Site: Pain · Joint painsFree text: Increased teeth sensitivityMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-19
- 2021-11-25
- 2021-12-09
- 2022-01-27
- 2022-04-28
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Mild stinging at injection site about 20 minutes after vaccination. My muscle twitched when I got the vaccine, so Im assuming thats why it is stinging some.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Appetite loss
Systemic reaction (other): Please note that these symptoms occurred right at hour 24 following my vaccine, which would have been around 4:30pm on Sunday, February 22. I had already taken my V-Safe assessment prior to these more severe symptoms developing a few hours later. I wanted to make sure I documented these symptoms as having occurred the day after my vaccine. On today/Monday, February 22, two days after my vaccine, I experienced fatigue and tiredness but it has since passed. I am only experiencing some mild tiredness that is not effecting my ability to perform daily functions. The symptoms and assessments listed in this report are documenting the severe late-onset symptoms I experienced 24hrs after my vaccine.
Systemic reaction (other): My arm began last night having what Id describe as referred pain which feels like a dull ache down into the crook of my elbow and forearm and a small tingling feeling in my pinky. Tylenol has proven to alleviate the dull ache. It isnt terribly painful but rather an annoying pain that feels similar to when you sleep on your arm wrong. The occasional tingling feeling feels like when your hand is just started to fall asleep.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My teeth have felt achey and more sensitive.
Systemic reaction (other): Increased teeth sensitivity
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 |
|---|---|---|---|---|
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hyperaesthesia teeth | · | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Toothache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release