3YY-17904-68050
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 837 / ID
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Dose 1 — Moderna
-
2021-01-18
Registered in v-safe
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-01-26
Survey response — day 7, dose 1MedDRA: Lymph node pain, Respiratory tract congestion — Feeling: Good · Site: ItchingFree text: Sore lymph nodes and congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-07
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2021-02-15
Dose 2 — Moderna
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2021-02-15
Survey response — day 28, dose 1MedDRA: Burning sensation, Diarrhoea, Pain, Pruritus — Feeling: FairFree text: Itching/prickly achy burning sensation/feeling on my shoulder blade (same side as vaccine), diarrhea. No idea if these are vaccine relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Joint pains, Fatigue or tirednessAdult check-in
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2021-02-22
Survey response — day 7, dose 2MedDRA: Arthralgia, Eczema, Muscle spasms — Feeling: Good · Joint painsFree text: Joint pain in elbow on vaccine arm, Minor Muscle cramping in hands and feet, eczema outbreak since getting second vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-08
- 2021-03-15
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2021-03-23
Survey response — day 35, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Elbow joint is aching in vaccine arm. It started day of vaccine and has seemed to get more irritating but still mild and not keeping me from activity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-05-17
- 2021-08-16
- 2022-02-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-15 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Congestion
Release 2 — day 7, dose 1
Systemic reaction (other): Sore lymph nodes and congestion
Release 4 — day 28, dose 1
Symptoms: Itching/prickly achy burning sensation/feeling on my shoulder blade (same side as vaccine), diarrhea. No idea if these are vaccine related
Release 4 — day 7, dose 2
Systemic reaction (other): Joint pain in elbow on vaccine arm, Minor Muscle cramping in hands and feet, eczema outbreak since getting second vaccine
Release 6 — day 35, dose 2
Symptoms: Elbow joint is aching in vaccine arm. It started day of vaccine and has seemed to get more irritating but still mild and not keeping me from 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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Eczema | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ○ | ✓ | ○ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release