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
-
2021-03-03
Dose 1 — Moderna
-
2022-01-07
Registered in v-safe
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2022-01-07
Dose 2 — Moderna
- 2022-01-07
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2022-01-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-01-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
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2022-01-10
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Nasal congestion — Feeling: Good · Site: Pain, Swelling, ItchingFree text: nasal congestion, coughMedDRA releases: 2024-11 · check-in free text available
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2022-01-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
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2022-01-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2022-01-13
Survey response — days 1–6 daily, dose 2MedDRA: Hypogeusia, Hyposmia — Feeling: Good · Site: ItchingFree text: Smell and taste seem to be diminishingMedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
- 2022-01-21
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2022-01-28
Survey response — day 21, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: My joints have really been hurting, knees, wrists and ankles especiallyMedDRA releases: 2024-11 · check-in free text available
- 2022-02-05
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2022-02-11
Survey response — day 35, dose 2MedDRA: Burning sensation, Erythema, Pain of skin, Urticaria — Feeling: GoodFree 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 welpsMedDRA releases: 2024-11 · check-in free text available
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2022-02-18
Survey response — day 42, dose 2MedDRA: Palpitations — Feeling: GoodFree text: Heart racing and palpitationsMedDRA releases: 2024-11 · check-in free text available
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2022-04-10
Survey response — 3 months, dose 2MedDRA: Arthralgia, Fatigue, Rash — Feeling: FairFree 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 timeMedDRA releases: 2024-11 · check-in free text available
- 2022-07-10
- 2023-01-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | No |
| 2 | 2022-01-07 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): nasal congestion, cough
Systemic reaction (other): Smell and taste seem to be diminishing
Release 11 — day 21, dose 2
Symptoms: My joints have really been hurting, knees, wrists and ankles especially
Release 11 — day 35, dose 2
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
Symptoms: Heart racing and palpitations
Release 11 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pain of skin | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Hypogeusia | · | · | ✓ |
| SRO | Hyposmia | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release