47X-20422-49215
5 vaccinations
5 coded responses
28 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 208 / MD
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-15
Registered in v-safe
-
2021-02-15
Dose 1 — Moderna
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Injection site pain, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: I have from time to time back pain that need muscle relaxant. This mid morning I felt my back failing again. And some soreness in the arm where I got the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Fair · Muscle or body achesFree text: Same back pain. Taking muscle relaxer and advilMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-10
-
2021-03-15
Dose 2 — Moderna
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Chest pain — Feeling: Fair · Site: ItchingFree text: I feel needle type pain on the opposite from the vaccine going from my under arm towards the center of my chest. This is the second day I feel them.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain — Feeling: GoodFree text: Still have but less of a needle pain from upper right side towards the center of my breast. eMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-20
- 2021-04-28
- 2021-06-14
-
2021-11-10
Dose 3 — Moderna
-
2022-03-15
Dose 4 — Moderna
- 2022-06-14
-
2022-09-28
Dose 5 — Pfizer-BioNTech
- 2022-10-22
- 2022-11-09
- 2022-12-29
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-03-15 | Moderna | No |
| 5 | 2022-09-28 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I have from time to time back pain that need muscle relaxant. This mid morning I felt my back failing again. And some soreness in the arm where I got the vaccine.
Systemic reaction (other): Same back pain. Taking muscle relaxer and advil
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I feel needle type pain on the opposite from the vaccine going from my under arm towards the center of my chest. This is the second day I feel them.
Systemic reaction (other): No
Systemic reaction (other): Still have but less of a needle pain from upper right side towards the center of my breast. e
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 | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release