3MF-12724-90173
5 vaccinations
10 coded responses
60 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 650 / MO
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
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2021-02-04
Survey response — day 0, dose 1MedDRA: Musculoskeletal stiffness, Myalgia — Feeling: Good · Muscle or body achesFree text: Ordinary old lady stiffness, upper arm muscle barely achyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
-
2021-02-25
Survey response — day 21, dose 1MedDRA: Adverse reaction, Migraine — Feeling: GoodFree text: Prodromal migraine like episodes lasting three days, now resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Dose 2 — Moderna
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2021-03-04
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: Minor sore arm onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal stiffness, Pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesFree text: Very minor barely above baseline of ordinary whole body achy stiffMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site reaction — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesFree text: Symptoms localized around needle site about the size of a dime. Barely perceptible above regular body baseline.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discolouration, Injection site swelling, Musculoskeletal stiffness, Pain — Feeling: Good · Site: Redness, SwellingFree text: Dime sized faintly pink and barely perceptible swelling at needle site, almost not more than regular baseline ache stiff body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
-
2021-03-25
Survey response — day 21, dose 2MedDRA: Hunger, Ophthalmic migraine, Self-medication, Vaccine positive rechallenge — Feeling: GoodFree text: Very brief possible prodromal ocular migraine a couple hours ago, dispelled by two acetaminophen and cheese sandwich. Might have been merely the usual mid-afternoon hungry biorhythm low, but same thing occurred exactly two weeks post 1st vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-02
-
2021-10-26
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
- 2021-10-28
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Defaecation urgency, Dyspepsia, Faeces soft, Nausea — Feeling: Good · Chills, NauseaFree text: 50-60 hours out: last night around midnight to 130am, "indigestion" progressed to nausea, chills, and an unusual need to poop. Not diarrhea! Just soft. By around 230am symptoms eased and slept remainder of night in recliner rather than bed. Okay by aMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-05
Dose 4 — Moderna
- 2022-04-18
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-07-05
-
2022-10-04
Dose 5 — ModernaCo-administered: Flu
- 2022-10-04
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2022-10-06
Survey response — days 1–6 daily, dose 5MedDRA: Headache, Lip swelling, Self-medication — Feeling: Good · Site: PainFree text: Lips/blebs swelling at 12 hours, relieved by Benedryl at 24 hours.Very brief incipient headaches at 12 hours and at 24 hours. No extra OTC needed.MedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: GoodFree text: Injection site sensitive to pressure. Otherwise not noticed with ordinary activity.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2023-01-03
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
| 5 | 2022-10-04 | Moderna | Flu |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Ordinary old lady stiffness, upper arm muscle barely achy
Release 4 — day 21, dose 1
Symptoms: Prodromal migraine like episodes lasting three days, now resolved.
Release 5 — day 0, dose 2
Systemic reaction (other): Minor sore arm only
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Very minor barely above baseline of ordinary whole body achy stiff
Systemic reaction (other): Symptoms localized around needle site about the size of a dime. Barely perceptible above regular body baseline.
Systemic reaction (other): Dime sized faintly pink and barely perceptible swelling at needle site, almost not more than regular baseline ache stiff body.
Release 6 — day 21, dose 2
Symptoms: Very brief possible prodromal ocular migraine a couple hours ago, dispelled by two acetaminophen and cheese sandwich. Might have been merely the usual mid-afternoon hungry biorhythm low, but same thing occurred exactly two weeks post 1st vaccination. cut off by CDC
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): 50-60 hours out: last night around midnight to 130am, "indigestion" progressed to nausea, chills, and an unusual need to poop. Not diarrhea! Just soft. By around 230am symptoms eased and slept remainder of night in recliner rather than bed. Okay by a cut off by CDC
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Lips/blebs swelling at 12 hours, relieved by Benedryl at 24 hours.Very brief incipient headaches at 12 hours and at 24 hours. No extra OTC needed.
Systemic reaction (other): Injection site sensitive to pressure. Otherwise not noticed with ordinary activity.
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Hunger | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Ophthalmic migraine | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Defaecation urgency | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Faeces soft | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site discolouration | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Lip swelling | · | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release