2Q6-23599-21745
3 vaccinations
3 coded responses
20 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 925 / CA
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
T92-14147-26910
Child or adolescent in my care · Female · 2021-12-21
Timeline
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2021-02-18
Registered in v-safe
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2021-02-18
Dose 1 — Moderna
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2021-02-18
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Injected limb mobility decreased, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Intense soreness on whole arm that the vaccine was administered. Hard to even lift arm or reach over or even drink from a cup using that arm/hand.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-02-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-25
Health check-in — day 7, dose 1Feeling: Good · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-04
Survey response — day 14, dose 1MedDRA: Lymph node pain — Feeling: GoodFree text: My underarm lymph node on the arm i received the vaccine is very sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
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2021-03-18
Dose 2 — Moderna
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2021-03-25
Survey response — day 7, dose 2MedDRA: Asthenia, Gait disturbance, Loss of personal independence in daily activities, Migraine, Nausea, Pain, Pain in extremity, Pyrexia — Feeling: GoodFree text: The day after my second dosage I experienced a horrible side effects. Not only was my whole arm sore, but so was the rest of my body. I had fever for about 36 hours. I had no energy. I was nauseous. I wanted to throw up constantly. I had terrible migraines. I could not get up and even walk a few steps. I was in bed for about 36 hours with all the symptoms and could not function with my normal day-to-day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
- 2021-04-17
- 2021-04-24
- 2021-04-29
- 2021-06-17
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2021-12-20
Dose 3 — Moderna
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2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-12-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-12-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-12-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-12-20 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Intense soreness on whole arm that the vaccine was administered. Hard to even lift arm or reach over or even drink from a cup using that arm/hand.
Release 5 — day 14, dose 1
Symptoms: My underarm lymph node on the arm i received the vaccine is very sore.
Release 6 — day 7, dose 2
Systemic reaction (other): The day after my second dosage I experienced a horrible side effects. Not only was my whole arm sore, but so was the rest of my body. I had fever for about 36 hours. I had no energy. I was nauseous. I wanted to throw up constantly. I had terrible migraines. I could not get up and even walk a few steps. I was in bed for about 36 hours with all the symptoms and could not function with my normal day-to-day.
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 | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release