2WR-16359-00139
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 762 / TX
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-02-12
Registered in v-safe
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body achesFree text: I periodically have an IT band issue- about once every 3 months- so I dont really think it is relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: Less pain than yesterday in the armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
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2021-02-25
Survey response — day 14, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I got a massage, and though she didnt touch it directly, it was deep fissile on the other parts of my arm, and the next day, it was red and not- not huge, but something I noticed- that did not stop me from doing anything regular- just got worriedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
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2021-03-12
Dose 2 — Moderna
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2021-03-12
Survey response — day 0, dose 2MedDRA: Sluggishness — Feeling: Fair · Site: Pain · Fever · ChillsFree text: SluggishMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: My temp is normally 97...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: PainFree text: Much better than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-04
- 2021-04-09
- 2021-04-16
- 2021-04-25
- 2021-06-13
- 2021-09-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-12 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I periodically have an IT band issue- about once every 3 months- so I dont really think it is related
Systemic reaction (other): Less pain than yesterday in the arm
Release 4 — day 14, dose 1
Symptoms: I got a massage, and though she didnt touch it directly, it was deep fissile on the other parts of my arm, and the next day, it was red and not- not huge, but something I noticed- that did not stop me from doing anything regular- just got worried
Release 5 — day 0, dose 2
Systemic reaction (other): Sluggish
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): My temp is normally 97...
Systemic reaction (other): Much better than yesterday
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sluggishness | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release