395-16398-98261
2 vaccinations
9 coded responses
15 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 833 / ID
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-02-12
Registered in v-safe
-
2021-02-12
Survey response — day 14, dose 1MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: Unusual stiffness at base of skull/top of spineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — day 21, dose 1MedDRA: Dermatitis contact — Feeling: FairFree text: Strange poison-oak like mark on my left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Dose 2 — Moderna
-
2021-02-23
Survey response — day 0, dose 2MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Weird stiff neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain, Rash — Feeling: Fair · Fatigue or tirednessFree text: Soar throat this morning. I had a strange rash that started about 12 days after my first shot, on the opposite armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · HeadacheFree text: Sore throat yesterday morning and this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Adverse drug reaction, Pruritus — Feeling: Fair · Site: Itching · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Itchiness/ histamine reactionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-11
- 2021-03-25
- 2021-04-01
-
2021-04-08
Survey response — day 42, dose 2MedDRA: Oropharyngeal pain, Throat irritation — Feeling: GoodFree text: Semi chronic sore throat or throat irritationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
-
2021-08-26
Survey response — 6 months, dose 2MedDRA: Chills, Feeling abnormal — Feeling: Good · Be unable to do your normal daily activitiesFree text: Unpredictable chills without fever. Sort of comes in waves of feeling bad.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-25
Survey response — 12 months, dose 2MedDRA: Muscle tightness, Paraesthesia, Throat irritation — Feeling: Good · Be unable to do your normal daily activitiesFree text: periodic scratchy throat and prickly neck tensionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Free text
Release 4 — day 14, dose 1
Symptoms: Unusual stiffness at base of skull/top of spine
Release 4 — day 21, dose 1
Symptoms: Strange poison-oak like mark on my left arm.
Release 4 — day 0, dose 2
Systemic reaction (other): Weird stiff neck
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Soar throat this morning. I had a strange rash that started about 12 days after my first shot, on the opposite arm
Systemic reaction (other): Sore throat yesterday morning and this morning
Systemic reaction (other): Itchiness/ histamine reaction
Release 7 — day 42, dose 2
Symptoms: Semi chronic sore throat or throat irritation
Release 9 — 6 months, dose 2
Symptoms: Unpredictable chills without fever. Sort of comes in waves of feeling bad.
Release 11 — 12 months, dose 2
Symptoms: periodic scratchy throat and prickly neck tension
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 | Chills | ✓ | · | ✓ |
| SD | Dermatitis contact | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | · | ✓ |
| SD | Muscle tightness | · | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Adverse drug reaction | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release