4F6-30773-34125
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 652 / MO
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
-
2021-01-07
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Pain soreness of arm down to fingersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Sleep disorder — Feeling: Good · Site: PainFree text: Arm pain better, can finally sleep on left side(arm received injection)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-21
- 2021-01-28
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2021-02-04
Dose 2 — Moderna
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2021-02-04
Survey response — day 0, dose 2MedDRA: Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body achesFree text: 2 hrs after shot-, arm pain/ soreness/Tingling down to fingertips. Shot arm is very sore, more so than with other vaccinationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
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2021-02-18
Survey response — day 14, dose 2MedDRA: Abdominal discomfort, Fatigue, Insomnia, Myalgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Monday nights-stomach upset, difficulty sleeping. Tuesday fatugue, muscle aches, felt worse as the day went on..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
- 2021-03-14
- 2021-03-20
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2021-05-09
Survey response — 3 months, dose 2MedDRA: Self-medication, Specialist consultation, Urticaria — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: hives, started around April 1. Never had hives or skin problems before in my life. Seen by dermatology, started bid Zyrtec, continued, worsened, increased to q6hr Zyrtec. Still became worse, now on lengthy prednisone taper. Day 10. Much improved. · Healthcare visit (other): dermatologyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-07
- 2022-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Pain soreness of arm down to fingers
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Arm pain better, can finally sleep on left side(arm received injection)
Release 3 — day 0, dose 2
Systemic reaction (other): 2 hrs after shot-, arm pain/ soreness/Tingling down to fingertips. Shot arm is very sore, more so than with other vaccinations
Release 4 — day 14, dose 2
Symptoms: Monday nights-stomach upset, difficulty sleeping. Tuesday fatugue, muscle aches, felt worse as the day went on..
Release 8 — 3 months, dose 2
Symptoms: hives, started around April 1. Never had hives or skin problems before in my life. Seen by dermatology, started bid Zyrtec, continued, worsened, increased to q6hr Zyrtec. Still became worse, now on lengthy prednisone taper. Day 10. Much improved.
Healthcare visit (other): dermatology
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 |
|---|---|---|---|---|
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release