3FV-14822-15638
1 vaccination
5 coded responses
10 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 198 / DE
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Registered in v-safe
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2020-12-24
Dose 1 — Moderna
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2020-12-24
Survey response — day 0, dose 1MedDRA: Feeling hot, Pain in extremity, Pre-existing disease, Self-medication — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: I was hot and possibly feverish I don't know it could've been from all the running around for Christmas Eve I did take Tylenol not sure if it was related or not. I typically have joint pain so that's going to be hard to monitor. I have Hashimoto's thyroid. The arm did hurt and I took Tylenol and ibuprofen when I got homeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Constipation — Feeling: Good · Site: Pain, Redness, SwellingFree text: Unsure if it caused severe constipation? I rarely get that way.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Fatigue, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: I have Hashimoto's thyroid it typically makes me tired with some joint pain. So I'm not going to mark that off for the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-29
- 2020-12-30
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2020-12-31
Survey response — day 7, dose 1MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: GoodFree text: I have joint pain and muscle pain consistently so it's not going to be marked off due to the vaccination. I have Hashimoto's autoimmuneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Survey response — day 14, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Seems like the itching has started again but mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-06-26
- 2021-12-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): I was hot and possibly feverish I don't know it could've been from all the running around for Christmas Eve I did take Tylenol not sure if it was related or not. I typically have joint pain so that's going to be hard to monitor. I have Hashimoto's thyroid. The arm did hurt and I took Tylenol and ibuprofen when I got home
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Unsure if it caused severe constipation? I rarely get that way.
Systemic reaction (other): I have Hashimoto's thyroid it typically makes me tired with some joint pain. So I'm not going to mark that off for the injection
Release 1 — day 7, dose 1
Systemic reaction (other): I have joint pain and muscle pain consistently so it's not going to be marked off due to the vaccination. I have Hashimoto's autoimmune
Release 1 — day 14, dose 1
Symptoms: Seems like the itching has started again but mild
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 | Pruritus | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Autoimmune thyroiditis | ○ | ○ | ○ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release