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4CZ-92887-65912

4 vaccinations 8 coded responses 36 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
152 / PA
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Good · Muscle or body aches
    Free text: Very mild lightheadedness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  11. 2021-03-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-01
    Dose 2 — Moderna
  14. 2021-04-01
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Joint pains, Nausea
    Adult check-in
  17. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-04-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gait disturbance, Muscle strain, Pain in extremity — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Having a hard time walking due to muscle "strain" in left buttock (since Sunday evening), today having muscle soreness in upper right arm (not injection site arm) after normal activities. Not sure if related to vaccine but both seem somewhat unusual.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-08
    Survey response — day 7, dose 2
    MedDRA: Movement disorder, Pain in extremity, Self-medication — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Upper arm muscles not as sore today (due to Ibuprofen?), still can't walk easily without taking Ibuprofen (as reported yesterday).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-01
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Fatigue, Myalgia, Pain in extremity — Feeling: Fair
    Free text: Minor muscle aches, mostly upper arms, joint pain in hands and knees, tire more easily than I used to.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-30
    Dose 3 — Moderna
  26. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chills, Decreased appetite, Feeling cold, Headache, Influenza like illness, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Free text: Moderate flu- like symptoms within 24-36 hours of vaccination, with chills, headache, body aches, couldn't get warm. Today is better but not much of an appetite.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-06
    Health check-in — day 7, dose 3
    Feeling: Good · Headache, Joint pains
    Adult check-in
  28. 2021-11-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-04
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-11
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-01-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-04-30
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-10-18
    Dose 4 — Moderna
    Co-administered: Flu
  35. 2022-10-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  36. 2022-10-26
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-11-03
    Survey response — day 14, dose 4
    MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Throat irritation — Feeling: Good
    Free text: Head congestion, sore throat, mild cough (scratchy throat)
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-11-11
    Survey response — day 21, dose 4
    MedDRA: Chills, Fatigue, Headache, Influenza like illness, Malaise, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Fair
    Free text: Seems like every day I have an episode of not feeling well, similar to the flu.It varies but I have head congestion that doesn't seem to go away,sore throat off and on, usually get a headache,feel very tired, have some body aches,sometimes chills.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-11-18
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  40. 2022-11-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-12-02
    Survey response — day 42, dose 4
    MedDRA: Arthralgia, Fine motor skill dysfunction — Feeling: Good · Be unable to do your normal daily activities
    Free text: Don't know if it has anything to do with the vaccine or not. I had sudden, unexpected, unexplainable SEVERE joint pain in my thumbs. Lasted about 24-48 hrs, was disabling, but, thankfully, I wasn't scheduled to work.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna
32021-10-30Moderna No
42022-10-18Moderna Flu

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): Very mild lightheadedness

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Having a hard time walking due to muscle "strain" in left buttock (since Sunday evening), today having muscle soreness in upper right arm (not injection site arm) after normal activities. Not sure if related to vaccine but both seem somewhat unusual.

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Upper arm muscles not as sore today (due to Ibuprofen?), still can't walk easily without taking Ibuprofen (as reported yesterday).

Release 8 — day 28, dose 2

2021-05-01

Symptoms: Minor muscle aches, mostly upper arms, joint pain in hands and knees, tire more easily than I used to.

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): Moderate flu- like symptoms within 24-36 hours of vaccination, with chills, headache, body aches, couldn't get warm. Today is better but not much of an appetite.

Release 12 — day 14, dose 4

2022-11-03

Symptoms: Head congestion, sore throat, mild cough (scratchy throat)

Release 12 — day 21, dose 4

2022-11-11

Symptoms: Seems like every day I have an episode of not feeling well, similar to the flu.It varies but I have head congestion that doesn't seem to go away,sore throat off and on, usually get a headache,feel very tired, have some body aches,sometimes chills. cut off by CDC

Release 12 — day 42, dose 4

2022-12-02

Symptoms: Don't know if it has anything to do with the vaccine or not. I had sudden, unexpected, unexplainable SEVERE joint pain in my thumbs. Lasted about 24-48 hrs, was disabling, but, thankfully, I wasn't scheduled to work.

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
SDArthralgia ✓ ✓ ✓
SDChills · · ✓
SDCough · · ✓
SDFatigue ✓ ✓ ✓
SDFine motor skill dysfunction · · ✓
SDHeadache · · ✓
SDInfluenza like illness · · ✓
SDMalaise · · ✓
SDMyalgia ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDThroat irritation · · ✓
SROChills · · ✓
SRODecreased appetite · · ✓
SRODizziness ✓ ✓ ✓
SROFeeling cold · · ✓
SROGait disturbance ✓ ✓ ✓
SROHeadache · · ✓
SROInfluenza like illness · · ✓
SROMovement disorder ✓ ✓ ✓
SROMuscle strain ✓ ✓ ✓
SROPain · · ✓
SROPain in extremity ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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

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