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38L-27514-25231

5 vaccinations 12 coded responses 54 check-ins 12 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
303 / GA
Registered
2021-01-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Registered in v-safe
  2. 2021-01-19
    Dose 1 — Moderna
  3. 2021-01-19
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Headache, Pain in extremity, Pyrexia — Feeling: Good · Site: Pain
    Free text: Didnt get follow-up check on 2nd day; had sore arm, mild headache, some chills, slight fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-16
    Dose 2 — Moderna
  12. 2021-02-16
    Survey response — day 0, dose 2
    MedDRA: Arthralgia, Myalgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Muscle and joint aches developed 1-2wks after first vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Not nausea, but unsettled stomach
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Epicondylitis, Joint injury — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Injury to L elbow: lateral & medial epicondylitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Aches probably due to elbow injury
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injury, Joint injury, Myalgia, Unevaluable event — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Again, sore muscles likely caused by elbow injury.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Again, probably due to elbow/arm injury
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-23
    Survey response — day 7, dose 2
    MedDRA: Injury — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Still due to elbow injury.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-09
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-03-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-17
    Survey response — 6 months, dose 2
    MedDRA: Sciatica — Feeling: Good · Be unable to do your normal daily activities
    Free text: Sciatica for the past week; responding to treatment.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-10-27
    Dose 3 — Moderna
  28. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain, Swelling · Headache
    Free text: Mild stomach upset, not nausea
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  30. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Soreness at injection site much less today
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abdominal discomfort — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Minor unsettled stomach, not nausea
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-03
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-10
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-18
    Dose 4 — Moderna
  42. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  43. 2022-04-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  44. 2022-04-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  45. 2022-04-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-04-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-04-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-04-25
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-05-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-05-09
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-06-01
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-07-18
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-09-26
    Dose 5 — Pfizer-BioNTech
  54. 2022-10-17
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-10-18
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  56. 2022-10-24
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  57. 2022-10-31
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  58. 2022-11-07
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  59. 2022-12-26
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  60. 2023-03-27
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-16Moderna
32021-10-27Moderna No
42022-04-18Moderna No
52022-09-26Pfizer-BioNTech No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Didnt get follow-up check on 2nd day; had sore arm, mild headache, some chills, slight fever

Release 4 — day 0, dose 2

2021-02-16

Systemic reaction (other): Muscle and joint aches developed 1-2wks after first vaccination.

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Not nausea, but unsettled stomach

2021-02-19

Systemic reaction (other): Injury to L elbow: lateral & medial epicondylitis

2021-02-20

Systemic reaction (other): Aches probably due to elbow injury

2021-02-21

Systemic reaction (other): Again, sore muscles likely caused by elbow injury.

2021-02-22

Systemic reaction (other): Again, probably due to elbow/arm injury

Release 4 — day 7, dose 2

2021-02-23

Systemic reaction (other): Still due to elbow injury.

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: Sciatica for the past week; responding to treatment.

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Mild stomach upset, not nausea

2021-10-30

Systemic reaction (other): Soreness at injection site much less today

2021-10-31

Systemic reaction (other): Minor unsettled stomach, not nausea

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
SDSciatica ✓ · ✓
SROAbdominal discomfort ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROEpicondylitis ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain · · ✓
SROInjury ✓ ✓ ✓
SROJoint injury ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ○ ✓ ○

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