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396-31336-50488

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
740 / OK
Registered
2022-01-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2022-01-07
    Registered in v-safe
  3. 2022-01-07
    Dose 2 — Moderna
  4. 2022-01-07
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  5. 2022-01-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2022-01-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  7. 2022-01-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Nasal congestion — Feeling: Good · Site: Pain, Swelling, Itching
    Free text: nasal congestion, cough
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-01-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  9. 2022-01-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Headache, Rash, not including the immediate area around the injection site
    Adult check-in
  10. 2022-01-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypogeusia, Hyposmia — Feeling: Good · Site: Itching
    Free text: Smell and taste seem to be diminishing
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-01-14
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  12. 2022-01-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2022-01-28
    Survey response — day 21, dose 2
    MedDRA: Arthralgia — Feeling: Good
    Free text: My joints have really been hurting, knees, wrists and ankles especially
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-02-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-02-11
    Survey response — day 35, dose 2
    MedDRA: Burning sensation, Erythema, Pain of skin, Urticaria — Feeling: Good
    Free text: A bra I have worn for a year is suddenly causing a burned like area on my rib cage. This happened a couple of days after the shot and it happened again today. I wore the bra for the 1st time today after it happened last time. Large red painful welps
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-02-18
    Survey response — day 42, dose 2
    MedDRA: Palpitations — Feeling: Good
    Free text: Heart racing and palpitations
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-04-10
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Fatigue, Rash — Feeling: Fair
    Free text: A weird painful rash in my left armpit. I am having lots of severe arthritis like pain and I am tired all of the time
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-07-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2023-01-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna No
22022-01-07Moderna No

Free text

Release 10 — days 1–6 daily, dose 2

2022-01-10

Systemic reaction (other): nasal congestion, cough

2022-01-13

Systemic reaction (other): Smell and taste seem to be diminishing

Release 11 — day 21, dose 2

2022-01-28

Symptoms: My joints have really been hurting, knees, wrists and ankles especially

Release 11 — day 35, dose 2

2022-02-11

Symptoms: A bra I have worn for a year is suddenly causing a burned like area on my rib cage. This happened a couple of days after the shot and it happened again today. I wore the bra for the 1st time today after it happened last time. Large red painful welps cut off by CDC

Release 11 — day 42, dose 2

2022-02-18

Symptoms: Heart racing and palpitations

Release 11 — 3 months, dose 2

2022-04-10

Symptoms: A weird painful rash in my left armpit. I am having lots of severe arthritis like pain and I am tired all of the time

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
SDArthralgia · · ✓
SDBurning sensation · · ✓
SDErythema · · ✓
SDFatigue · · ✓
SDPain of skin · · ✓
SDPalpitations · · ✓
SDRash · · ✓
SDUrticaria · · ✓
SROCough · · ✓
SROHypogeusia · · ✓
SROHyposmia · · ✓
SRONasal congestion · · ✓

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