3YK-90424-92516
1 vaccination
6 coded responses
9 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 344 / FL
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-25
Dose 1 — Moderna
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2021-02-26
Registered in v-safe
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2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Eye pain, Sinus pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Face, sinus and eye pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dont know where to write this, but this was my 2nd vaccine not the first.First vaccine I had no symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesFree text: Pain in my right calf. I believe it began on Friday, but I hurt all over at that time. Everything is gone except the calf pain, which comes and goes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Right calf seems better much of the time , but occasionally it hurts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: SwellingFree text: Off and on pain in my right calf. I have zero problems with circulation or anything, Im relating this to the shot. However, it is lessening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
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2021-03-04
Survey response — day 7, dose 1MedDRA: Muscle spasms — Feeling: GoodFree text: Right calf still has odd twinges, but not very significant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Face, sinus and eye pain.
Systemic reaction (other): Dont know where to write this, but this was my 2nd vaccine not the first.First vaccine I had no symptoms.
Systemic reaction (other): Pain in my right calf. I believe it began on Friday, but I hurt all over at that time. Everything is gone except the calf pain, which comes and goes.
Systemic reaction (other): Right calf seems better much of the time , but occasionally it hurts.
Systemic reaction (other): Off and on pain in my right calf. I have zero problems with circulation or anything, Im relating this to the shot. However, it is lessening.
Release 5 — day 7, dose 1
Systemic reaction (other): Right calf still has odd twinges, but not very significant.
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 |
|---|---|---|---|---|
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release