39B-40017-00088
3 vaccinations
5 coded responses
37 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 117 / NY
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Pain, Pyrexia — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Yesterday (about 20 hours after vaccine) I had chills, significant body aches and a fever up to 100.8- lasted about 6hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-12
- 2021-01-20
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Sx began at 6am (12 hours after the shot), and now 9 hours later are still debilitatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
-
2021-02-16
Survey response — day 21, dose 2MedDRA: Lymph node pain — Feeling: GoodFree text: I have 2 small mobile, slightly tender lymph nodes in my left arm- medial aspect- halfway between my axilla and my elbow. They developed about 17 days after my second shot, (4 days ago). No other symptoms, no rash or anything on my arm . I got bothMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
- 2021-07-27
-
2021-10-28
Dose 3 — Moderna
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
-
2021-11-11
Survey response — day 14, dose 3MedDRA: Vulvovaginal mycotic infection — Feeling: GoodFree text: I had a vaginal yeast infection which required treatment twice (very unusual for me, I never get yeast infections)MedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Survey response — day 21, dose 3MedDRA: Muscle contractions involuntary, Muscle twitching — Feeling: GoodFree text: Intermittent random for fasiculating twitches of my left deltoid, where I got my booster shot. Short-lived, maybe 10 seconds per episode, may happen multiple times per day, or maybe only one or two. Started about six days agoMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
- 2022-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday (about 20 hours after vaccine) I had chills, significant body aches and a fever up to 100.8- lasted about 6hours
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Sx began at 6am (12 hours after the shot), and now 9 hours later are still debilitating
Release 4 — day 21, dose 2
Symptoms: I have 2 small mobile, slightly tender lymph nodes in my left arm- medial aspect- halfway between my axilla and my elbow. They developed about 17 days after my second shot, (4 days ago). No other symptoms, no rash or anything on my arm . I got both cut off by CDC
Release 10 — day 14, dose 3
Symptoms: I had a vaginal yeast infection which required treatment twice (very unusual for me, I never get yeast infections)
Release 10 — day 21, dose 3
Symptoms: Intermittent random for fasiculating twitches of my left deltoid, where I got my booster shot. Short-lived, maybe 10 seconds per episode, may happen multiple times per day, or maybe only one or two. Started about six days ago
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 | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Muscle contractions involuntary | · | · | ✓ |
| SD | Muscle twitching | · | · | ✓ |
| SD | Vulvovaginal mycotic infection | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release