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4K8-55408-23783

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
932 / CA
Registered
2021-03-01
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-01
    Registered in v-safe
  2. 2021-03-01
    Dose 1 — Moderna
  3. 2021-03-01
    Health check-in — day 0, dose 1
    Feeling: Fair · None
    Adult check-in
  4. 2021-03-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain
    Free text: My arm is sore today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain
    Free text: Pain on my arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Pain on the arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain
    Free text: Slight pain on my arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-08
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-03-29
    Dose 2 — Moderna
  14. 2021-04-12
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Injection site pain — Feeling: Fair
    Free text: Tiredness and a sharp jabbing pain where I got the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-19
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-04-26
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-05-03
    Survey response — day 35, dose 2
    MedDRA: Hypoaesthesia, Pre-existing disease — Feeling: Fair
    Free text: I'm a diabetic. My legs are numb.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-12
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Muscular weakness, Vision blurred — Feeling: Fair
    Free text: Diabetes symptoms seems to be more constant. Blurry vision, more tired, and weakness in my legs and arms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-28
    Survey response — 3 months, dose 2
    MedDRA: Headache, Muscle spasms, Sinus disorder, Sinus pain — Feeling: Fair
    Free text: Leg cramps. Headaches. My sinus problem are more frequen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2022-03-30
    Survey response — 12 months, dose 2
    MedDRA: Fatigue, Heart rate increased, Heart rate irregular, Visual impairment — Feeling: Fair
    Free text: My vision is worse, my heart beats too fast and hard sometimes and I'm more tired now.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Moderna
22021-03-29Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): My arm is sore today.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Pain on my arm

2021-03-04

Systemic reaction (other): Pain on the arm

2021-03-05

Systemic reaction (other): Slight pain on my arm.

Release 7 — day 14, dose 2

2021-04-12

Symptoms: Tiredness and a sharp jabbing pain where I got the shot.

Release 8 — day 35, dose 2

2021-05-03

Symptoms: I'm a diabetic. My legs are numb.

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Diabetes symptoms seems to be more constant. Blurry vision, more tired, and weakness in my legs and arms

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Leg cramps. Headaches. My sinus problem are more frequen.

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: My vision is worse, my heart beats too fast and hard sometimes and I'm more tired now.

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
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeart rate increased · · ✓
SDHeart rate irregular · · ✓
SDHypoaesthesia ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSinus disorder · · ✓
SDSinus pain ✓ ✓ ○
SDVision blurred ✓ ✓ ✓
SDVisual impairment · · ✓
SROPain in extremity ✓ ✓ ✓

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

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