45J-15071-26837
2 vaccinations
3 coded responses
10 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 371 / TN
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-25
Dose 1 — Moderna
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2021-04-10
Registered in v-safe
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2021-04-10
Survey response — day 14, dose 1MedDRA: Arthralgia, Immediate post-injection reaction, Neuralgia, Obstructive airways disorder, Pain in extremity, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Airway started tightening approximately 30 minutes after vaccination. Felt relief within approximately ten minutes. The same night, the bottom of both feet became nerve sensitive with pain. Same pain was in the left foot up to the left hip. IbuprofenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 21, dose 1MedDRA: Arthralgia, Self-medication, Tenderness — Feeling: FairFree text: My left ankle pain has not stopped. I have continued to take ibuprofen for the pain and tenderness. It hurts to put a sock on. All other pains have subsided. My ankle is not swollen, not red or hot, just tender to touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Dose 2 — Moderna
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site reaction, Urticaria — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Large red welp 5-6 inches below the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-04-29
- 2021-05-13
- 2021-05-27
- 2021-06-05
- 2021-07-24
- 2021-10-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna |
Free text
Release 7 — day 14, dose 1
Symptoms: Airway started tightening approximately 30 minutes after vaccination. Felt relief within approximately ten minutes. The same night, the bottom of both feet became nerve sensitive with pain. Same pain was in the left foot up to the left hip. Ibuprofen cut off by CDC
Release 7 — day 21, dose 1
Symptoms: My left ankle pain has not stopped. I have continued to take ibuprofen for the pain and tenderness. It hurts to put a sock on. All other pains have subsided. My ankle is not swollen, not red or hot, just tender to touch.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Large red welp 5-6 inches below the injection site.
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 | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Obstructive airways disorder | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release