2FX-39611-32189
5 vaccinations
8 coded responses
48 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 193 / PA
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
- 2021-03-10
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Mobility decreased, Pre-existing disease, Self-medication — Feeling: Good · Muscle or body achesFree text: For the record, I have been nursing a strained right shoulder, near my collar bone, as well as tendonitis in my right elbow. Seems the elbow has worsened in the past few days. Taking ibuprofen for pain and inflammation. It is limiting, but I am still able to use my arm for light tasks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-04-06
Dose 2 — Moderna
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: I'm pretty sure the muscle ache in my left leg is neurological and will be seeing my PCP this week and I will discuss it with her.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Sciatica — Feeling: Good · Muscle or body achesFree text: Sciatica. Recurrent.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-22
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-06
- 2021-10-05
-
2021-10-27
Dose 3 — Moderna
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Myalgia — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Muscle ache is ongoing, not shot related.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-26
- 2021-12-01
-
2021-12-08
Survey response — day 42, dose 3MedDRA: Fatigue, Nasal congestion, Nasopharyngitis, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cold symptoms: cough, chest and nasal congestion, NO fever, some fatigue, NO loss of senses of taste nor smell. Sleeping well. No pain in throat nor abnormal joint pain.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
-
2022-04-11
Dose 4 — Moderna
- 2022-04-19
-
2022-04-27
Survey response — day 14, dose 4MedDRA: Dizziness — Feeling: GoodFree text: Lightheaded. I have not fallen. I am not nauseous.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
- 2022-05-09
-
2022-05-16
Survey response — day 35, dose 4MedDRA: Cough, Fatigue, Headache, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cough, congestion, headache, tiredness.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-12
-
2022-09-16
Dose 5 — ModernaCo-administered: Flu
- 2022-10-02
- 2022-10-09
-
2022-10-23
Survey response — day 35, dose 5MedDRA: Upper-airway cough syndrome — Feeling: GoodFree text: Post-nasal drip.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-18
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
| 5 | 2022-09-16 | Moderna | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): For the record, I have been nursing a strained right shoulder, near my collar bone, as well as tendonitis in my right elbow. Seems the elbow has worsened in the past few days. Taking ibuprofen for pain and inflammation. It is limiting, but I am still able to use my arm for light tasks.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I'm pretty sure the muscle ache in my left leg is neurological and will be seeing my PCP this week and I will discuss it with her.
Systemic reaction (other): Sciatica. Recurrent.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Muscle ache is ongoing, not shot related.
Release 10 — day 42, dose 3
Symptoms: Cold symptoms: cough, chest and nasal congestion, NO fever, some fatigue, NO loss of senses of taste nor smell. Sleeping well. No pain in throat nor abnormal joint pain.
Release 11 — day 14, dose 4
Symptoms: Lightheaded. I have not fallen. I am not nauseous.
Release 11 — day 35, dose 4
Symptoms: Cough, congestion, headache, tiredness.
Release 12 — day 35, dose 5
Symptoms: Post-nasal drip.
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 | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sciatica | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release