3N3-33152-92996
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 334 / FL
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-01-02
- 2021-01-04
- 2021-01-07
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2021-01-14
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site mass, Injection site pruritus — Feeling: GoodFree text: Injection site became very hard, red and itchy for a few days after having none of those problems for the first week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Survey response — day 21, dose 1MedDRA: Arthralgia, Injected limb mobility decreased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe left shoulder pain in shot arm. Unable to raise arm up all the way or move it inward.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Dose 2 — Moderna
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Wheezing — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Wheezing, shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, NauseaFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-03
- 2021-02-04
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2021-02-11
Survey response — day 14, dose 2MedDRA: Arthralgia, Neck pain, Pain in extremity — Feeling: FairFree text: Shoulder neck and upper arm pain on side the shot was on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-26
- 2021-03-04
- 2021-03-11
- 2021-04-30
- 2021-07-29
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2022-01-30
Survey response — 12 months, dose 2MedDRA: Cough, Dyspnoea, Fatigue, Oropharyngeal pain, Pyrexia, Upper-airway cough syndrome — Feeling: FairFree text: Sore throat, tiredness, post nasal drip, occasional cough, low grade fevers, short of breath if bend over from the waistMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Free text
Release 2 — day 14, dose 1
Symptoms: Injection site became very hard, red and itchy for a few days after having none of those problems for the first week.
Release 2 — day 21, dose 1
Symptoms: Severe left shoulder pain in shot arm. Unable to raise arm up all the way or move it inward.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Wheezing, shortness of breath
Systemic reaction (other): Cough
Release 4 — day 14, dose 2
Symptoms: Shoulder neck and upper arm pain on side the shot was on.
Release 11 — 12 months, dose 2
Symptoms: Sore throat, tiredness, post nasal drip, occasional cough, low grade fevers, short of breath if bend over from the waist
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 | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release