264-78024-85309
4 vaccinations
11 coded responses
53 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 452 / OH
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-29
Dose 1 — Moderna
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2021-03-30
Registered in v-safe
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2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
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2021-04-12
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site urticaria, Urticaria — Feeling: Good · Be unable to do your normal daily activitiesFree text: Large red welt at injection site almost a week ago. Accompanied with intense itching and burning. Broke out in small red hives on upper body, face and upper extremities. Symptoms persisted for 3 days and now have begun to improve.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
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2021-04-26
Dose 2 — Moderna
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2021-04-26
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Glands in both sides of neck and gland in left armpit, where injection was given, very swollen and painful to touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Bedridden, Headache, Hyperacusis, Migraine, Neck pain, Pain in jaw, Photophobia — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: The headache is a migraine. I have been bedridden most of the day. Intolerance to light and sound accompanied with pain in neck, jaw and side of head. Was bad at start of the day, but is slowly improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Very light headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
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2021-05-17
Survey response — day 21, dose 2MedDRA: Arthralgia, Chills, Fatigue, Headache, Influenza like illness, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 12 days post vaccine dose 2 I had fever, chills, fatigue, joint pain. Today, fever is gone, but other flu-like symptoms remain accompanied with minor chest pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-05-31
- 2021-06-07
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2021-07-26
Survey response — 3 months, dose 2MedDRA: Psoriasis, Rash — Feeling: GoodFree text: Facial psoriasis and additional rashes on body.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-25
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2021-11-29
Dose 3 — Moderna
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2021-11-29
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-01
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
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2021-12-13
Survey response — day 14, dose 3MedDRA: Arthralgia, Decreased appetite, Eye pain, Gingival swelling, Headache, Malaise, Nausea, Noninfective gingivitis, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Overall not feeling well. Barely have an appetite, nauseous when forcing food. Every joint in my body hurts. Hurts to walk, to sit, to lie down. Battling constant headaches. Gums are incredibly inflamed and swollen. Eyeballs ache, etc.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-02-28
- 2022-05-30
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2022-11-04
Dose 4 — Moderna
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2022-11-04
Survey response — day 0, dose 4MedDRA: Dizziness — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Dizziness, lightheadedMedDRA releases: 2024-11 · check-in free text available
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2022-11-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-11-06
Survey response — days 1–6 daily, dose 4MedDRA: Chest pain, Dyspnoea, Musculoskeletal pain — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Left side chest pain, pain behind left shoulder blade, shortness of breath, pain goes away if I lean forward or lay down.MedDRA releases: 2024-11 · check-in free text available
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2022-11-07
Survey response — days 1–6 daily, dose 4MedDRA: Chest discomfort, Chest pain, Dyspnoea, Musculoskeletal pain, Self-medication — Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Pain and pressure in left side of chest with pain in left shoulder blade. Pain and pressure improves with Naproxen. Very winded and hard time catching breath when experiencing the pain and pressure in chest. Breathing improves with Naproxen for pain.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-08
- 2022-11-09
- 2022-11-10
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2022-11-11
Survey response — day 7, dose 4MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Fatigue or tiredness, Abdominal painFree text: Pressure is back in center and left side of chest. Feeling a little winded. Symptoms are mild compared to what they were a few days ago.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-18
- 2022-11-25
- 2022-12-04
- 2022-12-11
- 2022-12-16
- 2023-02-04
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-11-04 | Moderna | No |
Free text
Release 7 — day 14, dose 1
Symptoms: Large red welt at injection site almost a week ago. Accompanied with intense itching and burning. Broke out in small red hives on upper body, face and upper extremities. Symptoms persisted for 3 days and now have begun to improve.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Glands in both sides of neck and gland in left armpit, where injection was given, very swollen and painful to touch.
Systemic reaction (other): The headache is a migraine. I have been bedridden most of the day. Intolerance to light and sound accompanied with pain in neck, jaw and side of head. Was bad at start of the day, but is slowly improving.
Systemic reaction (other): Very light headache.
Release 8 — day 21, dose 2
Symptoms: 12 days post vaccine dose 2 I had fever, chills, fatigue, joint pain. Today, fever is gone, but other flu-like symptoms remain accompanied with minor chest pain.
Release 9 — 3 months, dose 2
Symptoms: Facial psoriasis and additional rashes on body.
Release 10 — day 14, dose 3
Symptoms: Overall not feeling well. Barely have an appetite, nauseous when forcing food. Every joint in my body hurts. Hurts to walk, to sit, to lie down. Battling constant headaches. Gums are incredibly inflamed and swollen. Eyeballs ache, etc.
Release 12 — day 0, dose 4
Systemic reaction (other): Dizziness, lightheaded
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Left side chest pain, pain behind left shoulder blade, shortness of breath, pain goes away if I lean forward or lay down.
Systemic reaction (other): Pain and pressure in left side of chest with pain in left shoulder blade. Pain and pressure improves with Naproxen. Very winded and hard time catching breath when experiencing the pain and pressure in chest. Breathing improves with Naproxen for pain. cut off by CDC
Release 12 — day 7, dose 4
Systemic reaction (other): Pressure is back in center and left side of chest. Feeling a little winded. Symptoms are mild compared to what they were a few days ago.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gingival swelling | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site urticaria | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Noninfective gingivitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Psoriasis | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Bedridden | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperacusis | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | · | · | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release