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2XJ-33013-08337

3 vaccinations 9 coded responses 29 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
875 / NM
Registered
2021-01-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-21
    Dose 1 — Moderna
  2. 2021-01-18
    Registered in v-safe
  3. 2021-01-18
    Dose 2 — Moderna
  4. 2021-01-18
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-01-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-01-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased, Injection site reaction — Feeling: Good · Site: Pain
    Free text: Muscle twitches at injection site. Also had temp 101.4 since last survey, now normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-01-25
    Survey response — day 7, dose 2
    MedDRA: Injection site pain, Muscle twitching — Feeling: Good · Site: Pain
    Free text: Continued occasional muscle twitching or stabbing pain in the area of injection without tenderness the rest of the time
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-01
    Survey response — day 14, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Ongoing burning pain intermittently at injection site that began after first shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-08
    Survey response — day 21, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Ongoing intermittent injection site pain, burning in the deltoid.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-15
    Survey response — day 28, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Continued intermittent burning pain in the injection site, but it is happening less often than before
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-01
    Survey response — day 42, dose 2
    MedDRA: Abdominal discomfort — Feeling: Good
    Free text: Stomach upset and temp 100f today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-19
    Survey response — 6 months, dose 2
    MedDRA: Cough, Fatigue, Headache, Loss of personal independence in daily activities, Rhinorrhoea, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities
    Free text: One week of fatigue, headache, mild cough and runny nose. I've been able to work from home but too tired for household activities like chores. Covid test is pending.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-10-22
    Dose 3 — Moderna
  19. 2021-10-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-10-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  21. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  22. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  23. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Muscle twitching — Feeling: Good
    Free text: Have noticed random muscle twitches since the injection, in various body parts
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-10-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-26
    Survey response — day 35, dose 3
    MedDRA: Nasal congestion — Feeling: Good
    Free text: Nasal congestion. Several family members feel the same, all with negative binax now test.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-12-05
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-01-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-04-24
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-10-22
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-21Moderna
22021-01-18Moderna
32021-10-22Moderna No

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-21

Systemic reaction (other): Muscle twitches at injection site. Also had temp 101.4 since last survey, now normal

Release 2 — day 7, dose 2

2021-01-25

Systemic reaction (other): Continued occasional muscle twitching or stabbing pain in the area of injection without tenderness the rest of the time

Release 3 — day 14, dose 2

2021-02-01

Symptoms: Ongoing burning pain intermittently at injection site that began after first shot

Release 3 — day 21, dose 2

2021-02-08

Symptoms: Ongoing intermittent injection site pain, burning in the deltoid.

Release 4 — day 28, dose 2

2021-02-15

Symptoms: Continued intermittent burning pain in the injection site, but it is happening less often than before

Release 4 — day 42, dose 2

2021-03-01

Symptoms: Stomach upset and temp 100f today

Release 9 — 6 months, dose 2

2021-07-19

Symptoms: One week of fatigue, headache, mild cough and runny nose. I've been able to work from home but too tired for household activities like chores. Covid test is pending.

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Have noticed random muscle twitches since the injection, in various body parts

Release 10 — day 35, dose 3

2021-11-26

Symptoms: Nasal congestion. Several family members feel the same, all with negative binax now test.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort ✓ ✓ ✓
SDCough · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDInjection site pain ✓ ✓ ✓
SDLoss of personal independence in daily activities · · ✓
SDNasal congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test · · ✓
SROBody temperature increased ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROMuscle twitching ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release