3GV-18709-81743
2 vaccinations
8 coded responses
25 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 104 / NY
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-12
Registered in v-safe
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2021-03-12
Dose 1 — Moderna
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2021-03-12
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tirednessFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-04-09
Dose 2 — Moderna
- 2021-04-09
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Muscle spasms — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Light headed dizzy spasms & Charlie horses on left leg ,toes& footMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain — Feeling: Good · Site: PainFree text: Mild pain in left side of chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms, Pain in extremity — Feeling: FairFree text: Last night I have extremely painful cramps/charley horse in both of my calves and feet. Im worried this has never happened to me. The pain was horrendous. I could not straighten my foot or toes the spasms in my both my legs keep coming and going all nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-17
- 2021-04-24
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
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2021-07-09
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Fatigue — Feeling: FairFree text: I have been feeling very tired since I had the Moderna vaccine. I use to be able to walk up the stairs with no problem. But now I am out of fatigued out of breath just going up one flightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-08
Survey response — 6 months, dose 2MedDRA: Bone pain, Hyperaesthesia teeth, Muscle spasms — Feeling: FairFree text: Pains in bone of legs. Spasms at times on left side of body. I feel like my teeth are very sensitive never had that beforeMedDRA releases: 2024-11 · check-in free text available
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2022-04-09
Survey response — 12 months, dose 2MedDRA: Abulia, Depressed mood, Muscle spasms — Feeling: FairFree text: I find myself feeling depressed and I get muscle spasm in both arms and legs And there are days that I have a hard time making decisions for myselfMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Light headed
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Light headed
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed dizzy spasms & Charlie horses on left leg ,toes& foot
Systemic reaction (other): Mild pain in left side of chest
Systemic reaction (other): Last night I have extremely painful cramps/charley horse in both of my calves and feet. Im worried this has never happened to me. The pain was horrendous. I could not straighten my foot or toes the spasms in my both my legs keep coming and going all night
Release 9 — 3 months, dose 2
Symptoms: I have been feeling very tired since I had the Moderna vaccine. I use to be able to walk up the stairs with no problem. But now I am out of fatigued out of breath just going up one flight
Release 10 — 6 months, dose 2
Symptoms: Pains in bone of legs. Spasms at times on left side of body. I feel like my teeth are very sensitive never had that before
Release 11 — 12 months, dose 2
Symptoms: I find myself feeling depressed and I get muscle spasm in both arms and legs And there are days that I have a hard time making decisions for myself
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 | Abulia | · | · | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Depressed mood | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hyperaesthesia teeth | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release