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3EN-14853-03236

2 vaccinations 6 coded responses 10 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
829 / WY
Registered
2021-04-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
X6F-19559-95547 Child or adolescent in my care · Female · 2021-12-02

Timeline

  1. 2021-03-26
    Dose 1 — Moderna
  2. 2021-04-23
    Registered in v-safe
  3. 2021-04-23
    Dose 2 — Moderna
  4. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Mobility decreased — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work
    Free text: Resticted mobility in injection arm. (Cant undo bra)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injected limb mobility decreased — Feeling: Good · Joint pains, Muscle or body aches
    Free text: In shot arm i have reduced mobility/reduced flexibility in shoulder area. Can not reach my bra to unfasten still. This is since 1st shot and continues.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Numbness and tingling in arm with shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Movement disorder — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Still restricted movement in arm/shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-21
    Survey response — day 28, dose 2
    MedDRA: Chills, Diarrhoea, Fatigue, Headache, Myalgia, Pain, Pyrexia, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Fever, chills, headache, muscle pain and body ache, tired, diarrhea and vomiting
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-10-24
    Survey response — 6 months, dose 2
    MedDRA: Illness, Impaired work ability, Influenza like illness, Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I did get quite ill and missed work. It was flu like but more in chest. Tested negative for covid during sickness. Sickness lasted 8-10 days. Have been vaccinated for flu this year.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-23Moderna

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Resticted mobility in injection arm. (Cant undo bra)

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): In shot arm i have reduced mobility/reduced flexibility in shoulder area. Can not reach my bra to unfasten still. This is since 1st shot and continues.

2021-04-28

Systemic reaction (other): Numbness and tingling in arm with shot

2021-04-29

Systemic reaction (other): Still restricted movement in arm/shoulder

Release 8 — day 28, dose 2

2021-05-21

Symptoms: Fever, chills, headache, muscle pain and body ache, tired, diarrhea and vomiting

Release 10 — 6 months, dose 2

2021-10-24

Symptoms: I did get quite ill and missed work. It was flu like but more in chest. Tested negative for covid during sickness. Sickness lasted 8-10 days. Have been vaccinated for flu this year.

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
SDChills ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDIllness · · ✓
SDImpaired work ability · · ✓
SDInfluenza like illness · · ✓
SDMalaise · · ✓
SDMyalgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SDVomiting ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROMovement disorder ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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