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
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
-
2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Fatigue, Pain in extremity, Tenderness — Feeling: Good · Site: Pain · Fatigue or tirednessFree 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
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Pain in extremity — Feeling: Good · Site: Pain · HeadacheFree 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 badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
- 2021-01-04
- 2021-01-07
-
2021-01-28
Dose 2 — Moderna
-
2021-01-28
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: I had symptoms of pain and swelling in arm but it has subsided todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Fair · Fatigue or tirednessFree text: Just feeling little ill. Not badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-06
- 2021-08-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
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.
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
Systemic reaction (other): I had symptoms of pain and swelling in arm but it has subsided today
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ○ | ○ | ○ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release