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26G-26571-10573

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
618 / IL
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-02-09
    Registered in v-safe
  3. 2021-02-09
    Survey response — day 7, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Swelling
    Free text: (b)(6), not on immunosuppressants
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-18
    Survey response — day 21, dose 1
    MedDRA: Myalgia — Feeling: Good
    Free text: Sore muscles all over from shoveling only the front steps and sidewalk.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-25
    Dose 2 — Moderna
  7. 2021-02-25
    Survey response — day 0, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: My entire arm hurts, all the way to my hand
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches
    Adult check-in
  10. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Just note I have Churg Strauss, not on meds. Hope Im helping you follow autoimmune patients.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-18
    Survey response — day 21, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Severe sore throat for 12 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-02
    Survey response — day 35, dose 2
    MedDRA: Temperature intolerance — Feeling: Good
    Free text: Sudden intolerance to cold. No change in weather & house temp the same, but I had to add a down blanket, long johns, & socks to bedtime. Extra layers during the day. Internal temp my usual 97.5.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-09
    Survey response — day 42, dose 2
    MedDRA: Muscle fatigue, Muscle twitching, Tremor — Feeling: Good
    Free text: Random muscle twitches, slight hand tremors. Am now alarmed at muscle fatigue after my walks. I had thought it was due to inactivity over the winter, but its not getting better after continuing to exercise.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-02-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna

Free text

Release 3 — day 7, dose 1

2021-02-09

Systemic reaction (other): (b)(6), not on immunosuppressants
redacted (b)(6)

Release 4 — day 21, dose 1

2021-02-18

Symptoms: Sore muscles all over from shoveling only the front steps and sidewalk.

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): My entire arm hurts, all the way to my hand

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Just note I have Churg Strauss, not on meds. Hope Im helping you follow autoimmune patients.

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Severe sore throat for 12 hours

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Sudden intolerance to cold. No change in weather & house temp the same, but I had to add a down blanket, long johns, & socks to bedtime. Extra layers during the day. Internal temp my usual 97.5.

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Random muscle twitches, slight hand tremors. Am now alarmed at muscle fatigue after my walks. I had thought it was due to inactivity over the winter, but its not getting better after continuing to exercise.

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
SDMuscle fatigue ✓ ✓ ✓
SDMuscle twitching ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDTemperature intolerance ✓ ✓ ✓
SDTremor ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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