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26M-22575-72419

2 vaccinations 4 coded responses 19 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
378 / TN
Registered
2021-07-07
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-07
    Registered in v-safe
  2. 2021-07-07
    Dose 1 — Moderna
  3. 2021-07-07
    Survey response — day 0, dose 1
    MedDRA: Axillary pain, Pain in extremity — Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school
    Free text: Stinging throbbing aching feeling in arm that had the shot and and armpit of same arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-07-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-07-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-07-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  7. 2021-07-16
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  8. 2021-07-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-08-04
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-08-09
    Dose 2 — Moderna
  11. 2021-08-09
    Survey response — day 0, dose 2
    MedDRA: Abdominal distension, Disturbance in attention, Flatulence — Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Bad Gas, some bloating, but most likley from food i ate. I was also unable to focus, not even in the slightest. But i do that sometimes but it seemed extra bad.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-08-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased, Feeling abnormal, Hyperhidrosis, Nasopharyngitis, Pain — Feeling: Good · Site: Pain · Joint pains
    Free text: The night i got the shot, 8-9-21, i felt feverish right after i submitted my v-safe report. I felt feverish all night into part of the A.M. my highest known temp was 99.9. I felt really bad. Very achy & cold/sweaty. I forgot to do v-safe yesterday.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-08-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-08-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-08-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-08-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-08-23
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-08-30
    Survey response — day 21, dose 2
    MedDRA: Erythema, Fatigue, Increased upper airway secretion, Joint swelling, Lymphadenopathy — Feeling: Good
    Free text: Tiredness, mucus in back of throat, some kind of redness pain and swelling/infection in my elbow, and swollen glands. Some of this may have been last week and i simply forgot to mention it.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-09-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-07Moderna No
22021-08-09Moderna No

Free text

Release 9 — day 0, dose 1

2021-07-07

Systemic reaction (other): Stinging throbbing aching feeling in arm that had the shot and and armpit of same arm

Release 9 — day 0, dose 2

2021-08-09

Systemic reaction (other): Bad Gas, some bloating, but most likley from food i ate. I was also unable to focus, not even in the slightest. But i do that sometimes but it seemed extra bad.

Release 9 — days 1–6 daily, dose 2

2021-08-11

Systemic reaction (other): The night i got the shot, 8-9-21, i felt feverish right after i submitted my v-safe report. I felt feverish all night into part of the A.M. my highest known temp was 99.9. I felt really bad. Very achy & cold/sweaty. I forgot to do v-safe yesterday. cut off by CDC

Release 9 — day 21, dose 2

2021-08-30

Symptoms: Tiredness, mucus in back of throat, some kind of redness pain and swelling/infection in my elbow, and swollen glands. Some of this may have been last week and i simply forgot to mention it.

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
SDErythema ✓ · ✓
SDFatigue ✓ · ✓
SDIncreased upper airway secretion ✓ · ✓
SDJoint swelling ✓ · ✓
SDLymphadenopathy ✓ · ✓
SROAbdominal distension ✓ · ✓
SROAxillary pain ✓ ✓ ✓
SROBody temperature increased ✓ · ✓
SRODisturbance in attention ✓ · ✓
SROFeeling abnormal ✓ · ✓
SROFlatulence ✓ · ✓
SROHyperhidrosis ✓ · ✓
SRONasopharyngitis ✓ · ✓
SROPain ✓ · ✓
SROPain in extremity ✓ ✓ ✓

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