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4FF-14846-03955

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
300 / GA
Registered
2021-02-22
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-18
    Dose 1 — Moderna
  2. 2021-02-22
    Registered in v-safe
  3. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · Muscle or body aches
    Adult check-in
  4. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  5. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-26
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  7. 2021-03-04
    Survey response — day 14, dose 1
    MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities
    Free text: Headache on the right side oh my head.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-18
    Dose 2 — Moderna
  10. 2021-03-18
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  11. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling hot — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Hot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site reaction — Feeling: Good · Muscle or body aches
    Free text: The muscle I received the shot in keep nervously jumps
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Back pain — Feeling: Fair · Muscle or body aches
    Free text: Pain in my back below tge shoulder on the side where the shot was given
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-01
    Survey response — day 14, dose 2
    MedDRA: Back pain — Feeling: Good
    Free text: Soreness in my right upper back on side of my last shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-08
    Survey response — day 21, dose 2
    MedDRA: Acne, Rash — Feeling: Good
    Free text: My face broke out like teenage acne after the first shot, it broke out after the second shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-22
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Back pain — Feeling: Good
    Free text: The top of my back, lower shoulder on the side where the last shot was given, continues to hurt since i received the second shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-16
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia — Feeling: Good
    Free text: Shoulder pain on the side i received my shot.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-03-20
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-18Moderna
22021-03-18Moderna

Free text

Release 5 — day 14, dose 1

2021-03-04

Symptoms: Headache on the right side oh my head.

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Hot

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): The muscle I received the shot in keep nervously jumps

2021-03-23

Systemic reaction (other): Pain in my back below tge shoulder on the side where the shot was given

Release 6 — day 14, dose 2

2021-04-01

Symptoms: Soreness in my right upper back on side of my last shot.

Release 7 — day 21, dose 2

2021-04-08

Symptoms: My face broke out like teenage acne after the first shot, it broke out after the second shot

Release 7 — day 35, dose 2

2021-04-22

Symptoms: The top of my back, lower shoulder on the side where the last shot was given, continues to hurt since i received the second shot

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: Shoulder pain on the side i received my shot.

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
SDAcne ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓

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

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