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2J2-25219-86770

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
923 / CA
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-31
    Dose 1 — Moderna
  2. 2021-04-02
    Registered in v-safe
  3. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Breast pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness
    Free text: Pain in left Armpit and side of left breast
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oedema peripheral, Tenderness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Swelling and tenderness in armpit on injection side (left side)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling, Itching · Diarrhea
    Adult check-in
  7. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-07
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-04-14
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-04-21
    Survey response — day 21, dose 1
    MedDRA: Chest discomfort, Cough, Dry throat, Headache, Productive cough, Throat irritation — Feeling: Poor
    Free text: Phlegm, dry itchy throat, dry cough and slight tightness in chest. Slight headache every day for 3 weeks.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-28
    Dose 2 — Moderna
  12. 2021-04-28
    Survey response — day 0, dose 2
    MedDRA: Neuralgia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Worse Neuropathy Pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  15. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  16. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Headache
    Adult check-in
  17. 2021-05-05
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Headache
    Adult check-in
  18. 2021-05-12
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-05-19
    Survey response — day 21, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue really bad the last 2 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-26
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-06-04
    Survey response — day 35, dose 2
    MedDRA: Muscular weakness, Pre-existing disease, Vaccine positive rechallenge — Feeling: Good · Be unable to do your normal daily activities
    Free text: Weakness in legs. Had it after having Covid and after the 1st vaccine and it went away. It started again the last couple days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-10
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-07-29
    Survey response — 3 months, dose 2
    MedDRA: Alopecia, Fatigue, Neuropathy peripheral, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: More hair loss, fatigue and increased peripheral neuropathy pain
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2022-04-28
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-28Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Pain in left Armpit and side of left breast

2021-04-03

Systemic reaction (other): Swelling and tenderness in armpit on injection side (left side)

Release 7 — day 21, dose 1

2021-04-21

Symptoms: Phlegm, dry itchy throat, dry cough and slight tightness in chest. Slight headache every day for 3 weeks.

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Worse Neuropathy Pain

Release 8 — day 21, dose 2

2021-05-19

Symptoms: Fatigue really bad the last 2 days.

Release 8 — day 35, dose 2

2021-06-04

Symptoms: Weakness in legs. Had it after having Covid and after the 1st vaccine and it went away. It started again the last couple days.

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: More hair loss, fatigue and increased peripheral neuropathy pain

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
SDAlopecia ✓ · ✓
SDChest discomfort ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDry throat ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDNeuropathy peripheral ✓ · ✓
SDPre-existing disease ✓ · ✓
SDProductive cough ✓ ✓ ✓
SDThroat irritation ✓ ✓ ✓
SDVaccine positive rechallenge · · ✓
SROAxillary pain ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SRONeuralgia ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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