25P-39645-97509
2 vaccinations
6 coded responses
17 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 125 / NY
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Moderna
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2020-12-29
Survey response — day 0, dose 1MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: GoodFree text: Weird mouth taste right after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tirednessAdult check-in
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2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Injection site pain — Feeling: Good · Site: Pain, SwellingFree text: Yesterday evening I experienced a burning sensation over my upper arm where I received the injection. It has now subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-02
- 2021-01-03
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: I have a strange pain in the back of my arm pit close to where the injection site was. The pain is mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Survey response — day 7, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: I have the same strange sore spot near my armpit as I did yesterday. It is less noticeable today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-20
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2021-01-26
Dose 2 — Moderna
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2021-02-02
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-16
- 2021-02-25
- 2021-03-04
- 2021-03-09
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2021-07-27
Survey response — 6 months, dose 2MedDRA: Flank pain, Lower urinary tract symptoms — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have had intermittent flank pain and recurring UTI symptomsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-27
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-09
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2022-01-26
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: CovidMedDRA releases: 2024-11 · check-in free text available
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2022-01-26
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Weird mouth taste right after injection
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday evening I experienced a burning sensation over my upper arm where I received the injection. It has now subsided.
Systemic reaction (other): I have a strange pain in the back of my arm pit close to where the injection site was. The pain is mild.
Release 1 — day 7, dose 1
Systemic reaction (other): I have the same strange sore spot near my armpit as I did yesterday. It is less noticeable today.
Release 9 — 6 months, dose 2
Symptoms: I have had intermittent flank pain and recurring UTI symptoms
Release 11 — 12 months, dose 2
Symptoms: Covid
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 | COVID-19 | · | · | ✓ |
| SD | Flank pain | ✓ | · | ✓ |
| SD | Lower urinary tract symptoms | ✓ | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release