3JC-54882-41445
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 891 / NV
- Registered
- 2021-07-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-13
Registered in v-safe
-
2021-07-13
Dose 1 — Moderna
- 2021-07-13
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2021-07-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-07-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-07-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-07-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-07-18
- 2021-07-19
- 2021-07-20
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2021-07-27
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: I had a rash on my arm at the injection site.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-03
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2021-08-12
Dose 2 — Moderna
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2021-08-12
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-08-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-08-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-08-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-08-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-08-18
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2021-08-19
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-08-26
Survey response — day 14, dose 2MedDRA: Asthenia, Cough, Hyperhidrosis, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My arm that was injected with vaccine extremely aches. I dont have any energy. I have developed a cough. I also sweat for no reason.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-02
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2021-09-09
Survey response — day 28, dose 2MedDRA: Arthralgia, Muscular weakness, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: The arm that the shot was injected in. Has been extremely painful. Not right at the injectiom sight but my elbow. Where its hard to pick stuff up even.MedDRA releases: 2024-11 · check-in free text available
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2021-09-16
Survey response — day 35, dose 2MedDRA: Pain in extremity, Rash — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have a rash on my right side of body. I also am experiencing pain in right arm. Which is the arm that i received the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-23
- 2021-11-11
- 2022-08-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-13 | Moderna | No |
| 2 | 2021-08-12 | Moderna | No |
Free text
Release 9 — day 14, dose 1
Symptoms: I had a rash on my arm at the injection site.
Release 9 — day 14, dose 2
Symptoms: My arm that was injected with vaccine extremely aches. I dont have any energy. I have developed a cough. I also sweat for no reason.
Release 9 — day 28, dose 2
Symptoms: The arm that the shot was injected in. Has been extremely painful. Not right at the injectiom sight but my elbow. Where its hard to pick stuff up even.
Release 9 — day 35, dose 2
Symptoms: I have a rash on my right side of body. I also am experiencing pain in right arm. Which is the arm that i received the vaccine.
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 | Arthralgia | · | · | ✓ |
| SD | Asthenia | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Hyperhidrosis | ✓ | · | ✓ |
| SD | Injection site rash | ✓ | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release