292-31622-42245
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 352 / AL
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-26
Dose 1 — Moderna
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2021-03-29
Registered in v-safe
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Diarrhoea, Fatigue, Fibromyalgia, Myalgia, Pre-existing disease, Somnolence — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: On day two I was extremely sleepy. I have fibromyalgia so fatigue, muscle ache and joint pain are normal but the sleepiness and diarrhea is unusual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · DiarrheaAdult check-in
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: SwellingFree text: I have fibromyalgia so although Im experiencing some of symptoms listed above I dont think they are vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
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2021-04-09
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash — Feeling: GoodFree text: At last check-in the injection site was no longer itchy. However, a week after the vaccine I developed a large, itchy circular rash at the injection site. It is just now starting to look and feel like its going away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
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2021-04-27
Dose 2 — Moderna
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2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · HeadacheAdult check-in
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2021-05-04
Health check-in — day 7, dose 2Feeling: Good · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-11
- 2021-05-19
- 2021-05-25
- 2021-06-01
- 2021-06-10
- 2021-07-27
- 2021-10-26
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-27 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): On day two I was extremely sleepy. I have fibromyalgia so fatigue, muscle ache and joint pain are normal but the sleepiness and diarrhea is unusual.
Systemic reaction (other): I have fibromyalgia so although Im experiencing some of symptoms listed above I dont think they are vaccine related.
Release 7 — day 14, dose 1
Symptoms: At last check-in the injection site was no longer itchy. However, a week after the vaccine I developed a large, itchy circular rash at the injection site. It is just now starting to look and feel like its going away.
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 | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Fibromyalgia | ○ | ✓ | ○ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release