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28W-30780-97497

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
967 / HI
Registered
2021-03-04
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Survey response — day 0, dose 1
    MedDRA: Dizziness, Hypoaesthesia, Immediate post-injection reaction, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Arm that was injected had numbness in wrist and hand immediately after shot for 20 min, little dizziness. Now just pain throughout arm and hand
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  5. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Ear ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · Headache · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-18
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Feeling abnormal, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: On and off Headaches, fatigue and mental fogginess. * may have been exposed to covid positive person at work waiting for their test results. Then going to get tested.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-01
    Dose 2 — Moderna
  13. 2021-04-01
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in jaw, Toothache — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Pain in jaw and teeth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Nausea
    Free text: A little congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-08
    Survey response — day 7, dose 2
    MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tiredness
    Free text: Foggy brain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-23
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-04-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-15
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-07-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-04-01
    Survey response — 12 months, dose 2
    MedDRA: Fatigue, Menstrual disorder, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Tinnitus, fatigue, changes in Menstruation
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): Arm that was injected had numbness in wrist and hand immediately after shot for 20 min, little dizziness. Now just pain throughout arm and hand

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Ear ache

Release 5 — day 14, dose 1

2021-03-18

Symptoms: On and off Headaches, fatigue and mental fogginess. * may have been exposed to covid positive person at work waiting for their test results. Then going to get tested.

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Pain in jaw and teeth

2021-04-03

Systemic reaction (other): A little congestion

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Foggy brain

Release 11 — 12 months, dose 2

2022-04-01

Symptoms: Tinnitus, fatigue, changes in Menstruation

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
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMenstrual disorder · · ✓
SDTinnitus · · ✓
SRODizziness ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROToothache ✓ ✓ ✓

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