4F3-28362-85023
3 vaccinations
6 coded responses
27 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 009 / PR
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-04-26
Registered in v-safe
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2021-04-26
Dose 1 — Moderna
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2021-04-26
Survey response — day 0, dose 1MedDRA: Extrasystoles — Feeling: Good · Site: Pain · Headache, Joint painsFree text: Fast heartbeat after one hour and it last about 5 mntsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-04-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-04-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-04-30
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Good · Joint painsFree text: Tingling on fingers and toesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 1MedDRA: Mobility decreased, Pain in extremity, Paraesthesia — Feeling: Good · Joint painsFree text: Difficulty closing and opening hands effortlessly. Was chopping ingredients for cooking and somehow couldnt get my hand opened back to normal right away. Pain on the articulations of fingers. Also tingling and pinhead pain sensation on my toes. It all was brief but it happened.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
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2021-05-10
Survey response — day 14, dose 1MedDRA: Muscle spasms — Feeling: GoodFree text: Circulatory problems on legs and crampingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-24
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2021-06-01
Dose 2 — Moderna
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2021-06-01
Survey response — day 0, dose 2MedDRA: Somnolence — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: SleepyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-06-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tirednessAdult check-in
- 2021-06-04
- 2021-06-05
- 2021-06-06
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2021-06-07
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Memory impairment, Somnolence — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Weakness, extremely sleepy, feeling absent mindedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
- 2021-06-15
- 2021-06-22
- 2021-06-29
- 2021-07-06
- 2021-07-13
- 2021-08-31
- 2021-11-30
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2021-12-07
Dose 3 — Moderna
- 2022-06-07
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-26 | Moderna | |
| 2 | 2021-06-01 | Moderna | |
| 3 | 2021-12-07 | Moderna | No |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Fast heartbeat after one hour and it last about 5 mnts
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Tingling on fingers and toes
Systemic reaction (other): Difficulty closing and opening hands effortlessly. Was chopping ingredients for cooking and somehow couldnt get my hand opened back to normal right away. Pain on the articulations of fingers. Also tingling and pinhead pain sensation on my toes. It all was brief but it happened.
Release 8 — day 14, dose 1
Symptoms: Circulatory problems on legs and cramping
Release 8 — day 0, dose 2
Systemic reaction (other): Sleepy
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Weakness, extremely sleepy, feeling absent minded
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 | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Extrasystoles | ✓ | ✓ | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release