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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

  1. 2020-12-24
    Registered in v-safe
  2. 2020-12-24
    Dose 1 — Moderna
  3. 2020-12-24
    Survey response — day 0, dose 1
    MedDRA: Feeling hot, Pain in extremity, Pre-existing disease, Self-medication — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free 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 home
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Constipation — Feeling: Good · Site: Pain, Redness, Swelling
    Free 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
  5. 2020-12-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Fatigue, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free 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 injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  8. 2020-12-31
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Good
    Free 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 autoimmune
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-07
    Survey response — day 14, dose 1
    MedDRA: Pruritus — Feeling: Good
    Free text: Seems like the itching has started again but mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-06-26
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-12-24
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-24Moderna

Free text

Release 1 — day 0, dose 1

2020-12-24

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

2020-12-27

Systemic reaction (other): Unsure if it caused severe constipation? I rarely get that way.

2020-12-28

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

2020-12-31

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

2021-01-07

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

FieldPreferred term2021-092023-042024-11
SDPruritus ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAutoimmune thyroiditis ○ ○ ○
SROConstipation ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ○ ○ ○

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