492-16790-59382
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 482 / MI
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-22
Registered in v-safe
-
2021-02-22
Dose 1 — Moderna
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · HeadacheFree text: Mild chest pain on the left injection side .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Pruritus — Feeling: Good · Site: Itching · Muscle or body achesFree text: The itching is in my ears, slight chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
-
2021-03-22
Dose 2 — Moderna
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
-
2021-04-05
Survey response — day 14, dose 2MedDRA: Fatigue, Neck pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a terrible neck pain and fatigue. I felt like I was moving in slow motions.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Survey response — day 21, dose 2MedDRA: Chest discomfort, Fatigue, Mobility decreased, Neck pain, Secretion discharge — Feeling: Fair · Be unable to workFree text: Extreme fatigue, pain in my neck on the left side, mucus, and my heart feels heavy, I can hardly get out of bed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-26
- 2021-05-03
-
2021-06-21
Survey response — 3 months, dose 2MedDRA: Joint stiffness, Neck pain, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Feels like something is growing inside my neck on the left side which is the shot side. Sometimes it painful to turn my head. My left knee has been stiff since the 2nd dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Moderna | |
| 2 | 2021-03-22 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mild chest pain on the left injection side .
Systemic reaction (other): The itching is in my ears, slight chest pain
Release 6 — day 14, dose 2
Symptoms: I had a terrible neck pain and fatigue. I felt like I was moving in slow motions.
Release 7 — day 21, dose 2
Symptoms: Extreme fatigue, pain in my neck on the left side, mucus, and my heart feels heavy, I can hardly get out of bed.
Release 9 — 3 months, dose 2
Symptoms: Feels like something is growing inside my neck on the left side which is the shot side. Sometimes it painful to turn my head. My left knee has been stiff since the 2nd dose.
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Secretion discharge | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release