4HD-12838-30525
2 vaccinations
9 coded responses
21 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 759 / TX
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Injection site pain — Feeling: Good · Site: Pain · HeadacheFree text: The injection site is more soreness than pain. I did wake up with a mild headache but Ive done that a couple of times before receiving the vaccine . It was mild and went away even without OTC meds .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Im still getting a dull headache off and onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-28
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2021-02-04
Survey response — day 21, dose 1MedDRA: Headache, Musculoskeletal stiffness, Neck pain — Feeling: FairFree text: Ive had several dull headaches at the base of my skull mostly left side and sore /stiff neck on left side not all the time it comes and goes Dont know if it has to do with vaccine but it is something newMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Dose 2 — Moderna
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: The pain/soreness at the injection site goes up to my shoulder and neck on that sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Injection site pain, Neck pain — Feeling: Good · Site: PainFree text: Still just soreness at injection site going up to shoulder and neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Headache, Pain in extremity — Feeling: Good · Site: PainFree text: Still soreness in arm shoulder up to neck dull headache not all the time comes and goesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Injection site pain, Neck pain — Feeling: Good · Site: Pain, ItchingFree text: Still soreness at injection site moving to shoulder & neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-04
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2021-03-11
Survey response — day 28, dose 2MedDRA: Neck pain — Feeling: GoodFree text: Still experiencing neck painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — day 35, dose 2MedDRA: Neck pain — Feeling: GoodFree text: Still experiencing neck pain on injection sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-05-13
- 2021-08-12
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): The injection site is more soreness than pain. I did wake up with a mild headache but Ive done that a couple of times before receiving the vaccine . It was mild and went away even without OTC meds .
Systemic reaction (other): Im still getting a dull headache off and on
Release 3 — day 21, dose 1
Symptoms: Ive had several dull headaches at the base of my skull mostly left side and sore /stiff neck on left side not all the time it comes and goes Dont know if it has to do with vaccine but it is something new
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The pain/soreness at the injection site goes up to my shoulder and neck on that side
Systemic reaction (other): Still just soreness at injection site going up to shoulder and neck
Systemic reaction (other): Still soreness in arm shoulder up to neck dull headache not all the time comes and goes
Systemic reaction (other): Still soreness at injection site moving to shoulder & neck
Release 5 — day 28, dose 2
Symptoms: Still experiencing neck pain
Release 5 — day 35, dose 2
Symptoms: Still experiencing neck pain on injection side
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 | Headache | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release