2JK-30625-25274
1 vaccination
4 coded responses
10 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 934 / CA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
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2021-01-30
Dose 1 — Moderna
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2021-01-30
Survey response — day 0, dose 1MedDRA: Throat irritation — Feeling: FairFree text: A slight feeling in my throat.....mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
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2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: My right side, shoulder & knee especially have given me problems such as pain even before the vaccine. But today my symptoms have been worse on the right side. (Left side was the vaccine injection.). Feeling very tired and more of a dull kinda of pain on the ride side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Since Ive received the vaccine, the weak parts (right side) of my body have had some pain on different days Today the upper part of my leg and shoulder were in pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
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2021-02-13
Survey response — day 14, dose 1MedDRA: Vaccination site erythema, Vaccination site swelling — Feeling: GoodFree text: The spot where my vaccine was placed ......There was a redness and swelling. Then it seemed like it was fading. But to my surprise another spot showed up this past week. I was getting worried. Rubbed it yesterday, 2/12. Today less red.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): A slight feeling in my throat.....mild.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): My right side, shoulder & knee especially have given me problems such as pain even before the vaccine. But today my symptoms have been worse on the right side. (Left side was the vaccine injection.). Feeling very tired and more of a dull kinda of pain on the ride side.
Systemic reaction (other): Since Ive received the vaccine, the weak parts (right side) of my body have had some pain on different days Today the upper part of my leg and shoulder were in pain.
Release 4 — day 14, dose 1
Symptoms: The spot where my vaccine was placed ......There was a redness and swelling. Then it seemed like it was fading. But to my surprise another spot showed up this past week. I was getting worried. Rubbed it yesterday, 2/12. Today less red.
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 | Vaccination site erythema | ✓ | ✓ | ✓ |
| SD | Vaccination site swelling | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release