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323-25348-99490

2 vaccinations 1 coded response 4 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
334 / FL
Registered
2021-04-18
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-19
    Dose 1 — Moderna
  2. 2021-04-16
    Dose 2 — Moderna
  3. 2021-04-18
    Registered in v-safe
  4. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  5. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness
    Adult check-in
  6. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Energy increased, Erythema, Fatigue, Feeling hot, Headache, Pain, Pain in extremity, Peripheral swelling, Tenderness — Feeling: Good · Fatigue or tiredness
    Free text: I want to document that 5 hours after my 2nd dose, I developed a severe headache although I never suffer from headaches. My arm was both red, swollen, hot and painful to move or touch. The next 24 hours I was so exhausted I stayed prone most of the day. The next day I began to return to normal. I run 4 miles every day for 40 years and am invariably energetic. Never was I so impacted during a 24 hour period so dramatically. I had zero symptoms with the first shot. You should encourage more detail from every vaccine recipient
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Moderna
22021-04-16Moderna

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): I want to document that 5 hours after my 2nd dose, I developed a severe headache although I never suffer from headaches. My arm was both red, swollen, hot and painful to move or touch. The next 24 hours I was so exhausted I stayed prone most of the day. The next day I began to return to normal. I run 4 miles every day for 40 years and am invariably energetic. Never was I so impacted during a 24 hour period so dramatically. I had zero symptoms with the first shot. You should encourage more detail from every vaccine recipient

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
SROEnergy increased ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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