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4BN-12753-48643

2 vaccinations 10 coded responses 15 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
726 / AR
Registered
2021-06-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-22
    Dose 1 — Moderna
  2. 2021-06-06
    Registered in v-safe
  3. 2021-06-06
    Survey response — day 14, dose 1
    MedDRA: Headache, Myalgia, Nausea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Intense muscle pain in neck and shoulders, severe headache, nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-06-12
    Survey response — day 21, dose 1
    MedDRA: Muscle disorder — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Muscle and nerve issues in neck and shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-19
    Dose 2 — Moderna
  6. 2021-06-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-06-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-06-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis — Feeling: Fair · Site: Itching · Muscle or body aches, Abdominal pain
    Free text: Excess sweating
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Abdominal pain
    Adult check-in
  10. 2021-06-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  11. 2021-06-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Chills, Headache, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-06-26
    Survey response — day 7, dose 2
    MedDRA: Arrhythmia — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Arrhythmia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-07-03
    Survey response — day 14, dose 2
    MedDRA: Arrhythmia, Cold sweat, Fatigue, Hypertension — Feeling: Fair · Be unable to do your normal daily activities
    Free text: High blood pressure, arrhythmia, cold sweats, fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-10
    Survey response — day 21, dose 2
    MedDRA: Headache, Hypertension, Migraine, Palpitations — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Heart palpitations, high blood pressure, headaches and migraines
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-07-17
    Survey response — day 28, dose 2
    MedDRA: Chronic kidney disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Stage 1 CKD
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-07-24
    Survey response — day 35, dose 2
    MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Severe upper abdominal pain
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-07-31
    Survey response — day 42, dose 2
    MedDRA: Temperature intolerance — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Extreme heat sensitivity
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-09-18
    Survey response — 3 months, dose 2
    MedDRA: Coeliac disease, Hypothalamo-pituitary disorder, Nephrolithiasis, Non-alcoholic fatty liver — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Celiac disease, non alcoholic fatty liver disease, kidney stones, pituitary disfunction
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-22Moderna
22021-06-19Moderna No

Free text

Release 8 — day 14, dose 1

2021-06-06

Symptoms: Intense muscle pain in neck and shoulders, severe headache, nausea

Release 9 — day 21, dose 1

2021-06-12

Symptoms: Muscle and nerve issues in neck and shoulder

Release 9 — days 1–6 daily, dose 2

2021-06-22

Systemic reaction (other): Excess sweating

Release 9 — day 7, dose 2

2021-06-26

Systemic reaction (other): Arrhythmia

Release 9 — day 14, dose 2

2021-07-03

Symptoms: High blood pressure, arrhythmia, cold sweats, fatigue

Release 9 — day 21, dose 2

2021-07-10

Symptoms: Heart palpitations, high blood pressure, headaches and migraines

Release 9 — day 28, dose 2

2021-07-17

Symptoms: Stage 1 CKD

Release 9 — day 35, dose 2

2021-07-24

Symptoms: Severe upper abdominal pain

Release 9 — day 42, dose 2

2021-07-31

Symptoms: Extreme heat sensitivity

Release 9 — 3 months, dose 2

2021-09-18

Symptoms: Celiac disease, non alcoholic fatty liver disease, kidney stones, pituitary disfunction

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain upper ✓ · ✓
SDArrhythmia ✓ ✓ ✓
SDChronic kidney disease · · ✓
SDCoeliac disease · · ✓
SDCold sweat ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDHypothalamo-pituitary disorder · · ✓
SDMigraine ✓ ✓ ✓
SDMuscle disorder ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDNephrolithiasis · · ✓
SDNon-alcoholic fatty liver · · ✓
SDPalpitations ✓ ✓ ✓
SDTemperature intolerance ✓ · ✓
SROArrhythmia ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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