2PG-51658-21564
3 vaccinations
13 coded responses
39 check-ins
13 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 212 / MD
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-11
Dose 1 — Moderna
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2021-01-12
Registered in v-safe
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: Pain, SwellingFree text: Odd metallic taste for 5 hours or soMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: Pain, SwellingFree text: Metallic taste went awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
- 2021-01-16
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain — Feeling: Good · HeadacheFree text: Neck hurts in occipital region but I don't palpate any enlarged nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-25
- 2021-02-01
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2021-02-08
Dose 2 — Moderna
- 2021-02-08
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia, Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Metallic taste, numbness and tingling to arm and handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
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2021-02-22
Survey response — day 14, dose 2MedDRA: Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Paraesthesia — Feeling: Good · Be unable to do your normal daily activitiesFree text: 2/17 ai started to have arm pain at the injection site and numbness and tingling to fingers . No redness no warmth no swelling. Similar pain with limited range of motion as i experienced in the first 36 hours after dose 2. Pain resolved by 2/22.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — day 21, dose 2MedDRA: Cough, Fatigue, Physical deconditioning, Rash, Self-medication — Feeling: GoodFree text: Not sure if I mentioned the rash to my left outer thigh. It is going away now but I noticed it a week or so ago. Also dry cough at night. Nonasthma . I've been taking zyrtec x 1 year. Also fatigue with exertion. I chalk that up as deconditioningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-15
- 2021-05-10
- 2021-08-09
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2021-11-30
Dose 3 — Moderna
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2021-11-30
Survey response — day 0, dose 3MedDRA: Dysgeusia — Feeling: Good · Site: PainFree text: Metallic tasteMedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-12-02
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Myalgia, Neck pain, Oedema peripheral, Pain — Feeling: Good · Site: PainFree text: Left axillary pain and swelling. Left sided neck pain. Deltoid pain with raising above 90 degreesMedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Injection site pain, Neck pain — Feeling: Good · Site: PainFree text: Left axillary pain has lessened. Left neck pain is gone. Minimal injection site painMedDRA releases: 2024-11 · check-in free text available
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2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Groin pain, Lymphadenopathy, Neck pain — Feeling: GoodFree text: Left inguinal, left axillary, left neck pain. Suspect reactive nodesMedDRA releases: 2024-11 · check-in free text available
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2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: GoodFree text: Pain to left axilla is mild today.MedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Hypoaesthesia, Paraesthesia — Feeling: GoodFree text: Numbness to left arm. Tingling to fingers left handMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2021-12-14
- 2021-12-22
- 2021-12-28
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2022-01-06
Survey response — day 35, dose 3MedDRA: Eye irritation — Feeling: GoodFree text: Scratchy eyesMedDRA releases: 2024-11 · check-in free text available
- 2022-01-11
- 2022-03-01
- 2022-05-31
- 2022-12-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-11-30 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Odd metallic taste for 5 hours or so
Systemic reaction (other): Metallic taste went away
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Neck hurts in occipital region but I don't palpate any enlarged nodes
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Metallic taste, numbness and tingling to arm and hands
Release 4 — day 14, dose 2
Symptoms: 2/17 ai started to have arm pain at the injection site and numbness and tingling to fingers . No redness no warmth no swelling. Similar pain with limited range of motion as i experienced in the first 36 hours after dose 2. Pain resolved by 2/22.
Release 4 — day 21, dose 2
Symptoms: Not sure if I mentioned the rash to my left outer thigh. It is going away now but I noticed it a week or so ago. Also dry cough at night. Nonasthma . I've been taking zyrtec x 1 year. Also fatigue with exertion. I chalk that up as deconditioning cut off by CDC
Release 10 — day 0, dose 3
Systemic reaction (other): Metallic taste
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Left axillary pain and swelling. Left sided neck pain. Deltoid pain with raising above 90 degrees
Systemic reaction (other): Left axillary pain has lessened. Left neck pain is gone. Minimal injection site pain
Systemic reaction (other): Left inguinal, left axillary, left neck pain. Suspect reactive nodes
Systemic reaction (other): Pain to left axilla is mild today.
Systemic reaction (other): Numbness to left arm. Tingling to fingers left hand
Release 10 — day 35, dose 3
Symptoms: Scratchy eyes
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 | Eye irritation | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Physical deconditioning | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Groin pain | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release