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3CF-22978-56150

2 vaccinations 13 coded responses 23 check-ins 13 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
850 / AZ
Registered
2021-01-23
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-23
    Registered in v-safe
  2. 2021-01-23
    Dose 1 — Moderna
  3. 2021-01-23
    Survey response — day 0, dose 1
    MedDRA: Influenza like illness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: I feel like I have the flu.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Influenza like illness, Pruritus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Im itching all over but no rash. I still feel like I have the flu.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling cold, Feeling hot, Headache, Injection site pain, Myalgia, Pain, Peripheral coldness, Pruritus — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Im still itching not as bad and it is not a rash. Pain on injection site I has diminished from being entire muscle to judy injection site. Freezing hands, nose, toes, with chills then hot as the Sahara. Muscle and body aches like the flu. Headache intermittent throughly out the day and night but severe.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-01-31
    Survey response — day 7, dose 1
    MedDRA: Stomatitis — Feeling: Good · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I have developed mouth sores.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-13
    Survey response — day 21, dose 1
    MedDRA: Chills, Feeling of body temperature change, Hyperhidrosis, Muscle spasms, Night sweats — Feeling: Good
    Free text: Muscle cramps in upper body, legs, hands. Still experiencing chills and fever. Or getting very cold and then very hot with sweat. Night sweats.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-21
    Survey response — day 28, dose 1
    MedDRA: Fatigue, Headache, Myalgia, Nausea, SARS-CoV-2 test negative — Feeling: Fair
    Free text: Fatigue, headache, nausea, muscle achesNegative COVID19 test results 2/16/2021Havent received information for 2nd dose yet
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-27
    Dose 2 — Moderna
  13. 2021-02-27
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site
    Free text: Itching but not a rash.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blood pressure increased, Impaired work ability, Influenza like illness — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: This morning my blood pressure was 176/89. I felt like I had a bad flu. I stayed home for an additional hour before going to work. The remainder of the day Ive felt fine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  19. 2021-03-08
    Health check-in — day 7, dose 2
    Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-03-13
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Fatigue, Headache, Influenza like illness, Myalgia, Nausea — Feeling: Good
    Free text: Still experiencing flu like symptoms. Fatigue, nausea, headaches minor muscle and joint aches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-21
    Survey response — day 21, dose 2
    MedDRA: Muscle spasms — Feeling: Good
    Free text: OMG. Body cramps.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-27
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Muscle spasms — Feeling: Fair
    Free text: Muscle cramps joint pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-03
    Survey response — day 35, dose 2
    MedDRA: Chills, Muscle spasms, Pain, Rhinorrhoea — Feeling: Good
    Free text: Continue with body aches muscle cramps chills runny nose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-02-27
    Survey response — 12 months, dose 2
    MedDRA: Chills, Fatigue — Feeling: Good
    Free text: Fatigue Chills
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Moderna
22021-02-27Moderna

Free text

Release 2 — day 0, dose 1

2021-01-23

Systemic reaction (other): I feel like I have the flu.

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Im itching all over but no rash. I still feel like I have the flu.

2021-01-27

Systemic reaction (other): Im still itching not as bad and it is not a rash. Pain on injection site I has diminished from being entire muscle to judy injection site. Freezing hands, nose, toes, with chills then hot as the Sahara. Muscle and body aches like the flu. Headache intermittent throughly out the day and night but severe.

Release 3 — day 7, dose 1

2021-01-31

Systemic reaction (other): I have developed mouth sores.

Release 4 — day 21, dose 1

2021-02-13

Symptoms: Muscle cramps in upper body, legs, hands. Still experiencing chills and fever. Or getting very cold and then very hot with sweat. Night sweats.

Release 4 — day 28, dose 1

2021-02-21

Symptoms: Fatigue, headache, nausea, muscle achesNegative COVID19 test results 2/16/2021Havent received information for 2nd dose yet

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Itching but not a rash.

2021-03-04

Systemic reaction (other): This morning my blood pressure was 176/89. I felt like I had a bad flu. I stayed home for an additional hour before going to work. The remainder of the day Ive felt fine.

Release 5 — day 14, dose 2

2021-03-13

Symptoms: Still experiencing flu like symptoms. Fatigue, nausea, headaches minor muscle and joint aches.

Release 6 — day 21, dose 2

2021-03-21

Symptoms: OMG. Body cramps.

Release 6 — day 28, dose 2

2021-03-27

Symptoms: Muscle cramps joint pain

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Continue with body aches muscle cramps chills runny nose.

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: Fatigue Chills

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 ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling of body temperature change ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHyperhidrosis ✓ ✓ ✓
SDInfluenza like illness ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDNight sweats ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SROBlood pressure increased ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPeripheral coldness ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROStomatitis ✓ ✓ ✓

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

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