2GF-20102-79027
1 vaccination
5 coded responses
8 check-ins
5 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 56-60
- ZIP prefix
- 923 / CA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
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2021-02-11
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: This is my second dose. I got it at 9:45 amMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth, Tongue dry — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: Dry mouth and tongue. This is my second dose of ModernaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains, NauseaFree text: This is my second dose of ModernaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Vaccine positive rechallenge — Feeling: Good · Joint painsFree text: I have joint pain which I have NEVER experienced before my first dose of Moderna. Have it again with second Moderna dose. This is a first for me as a 60 year old female who exercises regularly, eats a whole food plant based diet and has a normal BMIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
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2021-08-12
Survey response — 6 months, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Ive had hip inflammation (after both vaccine 1 and 2), that reactivates periodically. It got reactivated after dose 1 of Shingles vaccine that I got in April. Im 60 yrs and have not experienced joint inflammation prior to the Covid19 vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): This is my second dose. I got it at 9:45 am
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Dry mouth and tongue. This is my second dose of Moderna
Systemic reaction (other): This is my second dose of Moderna
Systemic reaction (other): I have joint pain which I have NEVER experienced before my first dose of Moderna. Have it again with second Moderna dose. This is a first for me as a 60 year old female who exercises regularly, eats a whole food plant based diet and has a normal BMI
Release 9 — 6 months, dose 1
Symptoms: Ive had hip inflammation (after both vaccine 1 and 2), that reactivates periodically. It got reactivated after dose 1 of Shingles vaccine that I got in April. Im 60 yrs and have not experienced joint inflammation prior to the Covid19 vaccine.
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 | Condition aggravated | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Tongue dry | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release