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4GY-22854-90919

2 vaccinations 4 coded responses 13 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
919 / CA
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Fatigue, Pain in extremity, Tenderness — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: I was dizzy yesterday 12/31/20. It has subsided. I had done pain tenderness in my arm the first night but was less the next day. No pain right now. I was very tired the past couple of days that had resolved.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia, Pain in extremity — Feeling: Good · Site: Pain · Headache
    Free text: Have soreness in my arm but not bad had muscle pain in my shoulder and chest on the right side site of infection last night but went away not bad
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-28
    Dose 2 — Moderna
  10. 2021-01-28
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  11. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: I had symptoms of pain and swelling in arm but it has subsided today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Malaise — Feeling: Fair · Fatigue or tiredness
    Free text: Just feeling little ill. Not bad
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-08-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-28Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): I was dizzy yesterday 12/31/20. It has subsided. I had done pain tenderness in my arm the first night but was less the next day. No pain right now. I was very tired the past couple of days that had resolved.

2021-01-02

Systemic reaction (other): Have soreness in my arm but not bad had muscle pain in my shoulder and chest on the right side site of infection last night but went away not bad

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): I had symptoms of pain and swelling in arm but it has subsided today

2021-02-01

Systemic reaction (other): Just feeling little ill. Not bad

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
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInjection site pain ○ ○ ○
SROMalaise ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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