398-84789-70533
4 vaccinations
5 coded responses
33 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 852 / AZ
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
- 2021-03-20
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: So far a guillain-barre attack has not occurred!! Yippee!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-25
- 2021-03-26
- 2021-03-27
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2021-04-03
Survey response — day 14, dose 1MedDRA: Feeling hot, Immunisation reaction, Pain in extremity, Pruritus — Feeling: GoodFree text: Covid Arm!!On 11th day my upper arm became hot, itchy and painful. Symptoms are still present, though skin on my arm looks normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
-
2021-04-17
Dose 2 — Moderna
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-30
- 2021-07-17
- 2021-10-16
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2021-11-19
Dose 3 — Moderna
- 2022-04-17
-
2022-05-19
Dose 4 — Moderna
- 2022-05-19
-
2022-05-20
Health check-in — days 1–6 daily, dose 4Feeling: Poor · 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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2022-05-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-22
Survey response — days 1–6 daily, dose 4MedDRA: Asthenia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Extreme WeaknessMedDRA releases: 2024-11 · check-in free text available
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2022-05-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-25
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease — Feeling: Good · Site: Redness, Swelling, Itching · Be unable to do your normal daily activitiesFree text: Am keenly aware of my Guillain-Barre status. Am so concerned these vaccinations could provoke another attack.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-06-02
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2022-06-12
Survey response — day 21, dose 4MedDRA: Spinal nerve stimulator implantation — Feeling: GoodFree text: Endured surgical implant of a spinal stimulator a week ago!!! Recovering from anesthesia and pain meds. But strong enough for procedure to advance, and feeling fine in every way, covid, surgical and recovery. No covid symptoms. Yay!!!MedDRA releases: 2024-11 · check-in free text available
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-08-18
- 2022-11-19
- 2023-05-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-05-19 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): So far a guillain-barre attack has not occurred!! Yippee!!
Release 6 — day 14, dose 1
Symptoms: Covid Arm!!On 11th day my upper arm became hot, itchy and painful. Symptoms are still present, though skin on my arm looks normal.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Extreme Weakness
Systemic reaction (other): Am keenly aware of my Guillain-Barre status. Am so concerned these vaccinations could provoke another attack.
Release 12 — day 21, dose 4
Symptoms: Endured surgical implant of a spinal stimulator a week ago!!! Recovering from anesthesia and pain meds. But strong enough for procedure to advance, and feeling fine in every way, covid, surgical and recovery. No covid symptoms. Yay!!!
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 | Feeling hot | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Spinal nerve stimulator implantation | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release