46G-28017-23628
2 vaccinations
7 coded responses
19 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 852 / AZ
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
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2021-01-23
Dose 1 — Moderna
- 2021-01-23
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Dyspepsia, Eructation — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Sour stomach. Kind of ache. BelchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Sour stomach, acidicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia — Feeling: Good · HeadacheFree text: Stomach still sour but improvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Eructation — Feeling: Good · Abdominal painFree text: Still have stomach ache with belchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: GoodFree text: I feel great today! Thanks!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site warmth — Feeling: GoodFree text: A redness around the vaccination spot all day & night on February 5th. . It was about 2 inches in width around the spot. It was warm to the touch & a little sore. No redness or soreness today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
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2021-02-17
Dose 2 — Moderna
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
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2021-08-18
Survey response — 6 months, dose 2MedDRA: Dysstasia, Gait disturbance, Muscle tightness, Nervous system disorder, Office visit, Sitting disability — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: The nerves in my left lower back, left groin and left thigh have really gotten tight making it sometimes really difficult to sit stand or walk · Healthcare visit (other): Regular doctor appointmentMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-18
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sour stomach. Kind of ache. Belching
Systemic reaction (other): Sour stomach, acidic
Systemic reaction (other): Stomach still sour but improved
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Still have stomach ache with belching
Release 3 — day 7, dose 1
Systemic reaction (other): I feel great today! Thanks!
Release 3 — day 14, dose 1
Symptoms: A redness around the vaccination spot all day & night on February 5th. . It was about 2 inches in width around the spot. It was warm to the touch & a little sore. No redness or soreness today.
Release 9 — 6 months, dose 2
Symptoms: The nerves in my left lower back, left groin and left thigh have really gotten tight making it sometimes really difficult to sit stand or walk
Healthcare visit (other): Regular doctor appointment
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Dysstasia | ✓ | · | ✓ |
| SD | Gait disturbance | ✓ | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Muscle tightness | ✓ | · | ✓ |
| SD | Nervous system disorder | ✓ | · | ✓ |
| SD | Sitting disability | ✓ | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Eructation | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release