2U5-52613-58652
3 vaccinations
5 coded responses
16 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 117 / NY
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
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2021-02-03
Registered in v-safe
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2021-02-03
Dose 2 — Moderna
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2021-02-03
Survey response — day 0, dose 2MedDRA: Balance disorder — Feeling: Fair · Site: Pain · Muscle or body achesFree text: I feel wobbly since i got my second injection earlierMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Gait disturbance — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Wobbly when getting upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body achesAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
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2021-02-24
Survey response — day 21, dose 2MedDRA: Back pain, Discomfort, Musculoskeletal pain, Pain — Feeling: GoodFree text: Aches in lower back like i had after my second shot. It actually radiates down into my buttocks where it is uncomfortable to sit for ling periods of time. I had this experience after the second shot and it went away...now it's back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — day 35, dose 2MedDRA: Musculoskeletal pain, Pain in extremity — Feeling: GoodFree text: Aches in my upper buttocks that shoot down the back of my thighs. Never had this until my second shot of Moderna.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-05-05
- 2021-08-04
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2021-11-06
Dose 3 — Moderna
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2022-02-03
Survey response — 12 months, dose 2MedDRA: Cough, Nasal congestion, Pyrexia — Feeling: Fair · Be unable to work or attend schoolFree text: Fever, cough, stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): I feel wobbly since i got my second injection earlier
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Wobbly when getting up
Release 4 — day 21, dose 2
Symptoms: Aches in lower back like i had after my second shot. It actually radiates down into my buttocks where it is uncomfortable to sit for ling periods of time. I had this experience after the second shot and it went away...now it's back.
Release 5 — day 35, dose 2
Symptoms: Aches in my upper buttocks that shoot down the back of my thighs. Never had this until my second shot of Moderna.
Release 11 — 12 months, dose 2
Symptoms: Fever, cough, stuffy nose
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release