449-27068-44000
4 vaccinations
5 coded responses
33 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 024 / MA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Fatigue, Headache, Myalgia, Neck pain, Self-medication — Feeling: Good · Site: Pain · Muscle or body achesFree text: My muscle pain was mild and just in left shoulder/side of neck last night and this morning. Last night I had a mild headache and was more tired than usual. Took Tylenol and went to bed and felt fine in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
-
2021-01-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Myalgia — Feeling: Good · HeadacheFree text: I am not experiencing any of these symptoms TODAY, but I DID experience chills (in the moderate range) and muscle achÃnese and fatigue last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Good · Site: PainFree text: I did not experience chills today, but last night, after I already filled out my v-safe for yesterday, I did have mild chills at night and at some point in the middle of the night, but when I woke up this morning I felt totally fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Itchiness on one part of my torso. VERY mild rash. Not at all convinced it is from the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Mild headache. Not sure this is related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-07-28
-
2021-11-02
Dose 3 — Moderna
- 2022-01-27
-
2022-04-19
Dose 4 — Moderna
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-19
- 2022-10-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): My muscle pain was mild and just in left shoulder/side of neck last night and this morning. Last night I had a mild headache and was more tired than usual. Took Tylenol and went to bed and felt fine in the morning.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I am not experiencing any of these symptoms TODAY, but I DID experience chills (in the moderate range) and muscle achÃnese and fatigue last night.
Systemic reaction (other): I did not experience chills today, but last night, after I already filled out my v-safe for yesterday, I did have mild chills at night and at some point in the middle of the night, but when I woke up this morning I felt totally fine.
Systemic reaction (other): Itchiness on one part of my torso. VERY mild rash. Not at all convinced it is from the vaccine.
Systemic reaction (other): Mild headache. Not sure this is related to 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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release