4KM-30018-66590
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 853 / AZ
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-22
Dose 1 — Moderna
-
2021-04-24
Registered in v-safe
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2021-04-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
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2021-04-30
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-06
- 2021-05-13
- 2021-05-20
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2021-05-24
Dose 2 — Moderna
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2021-05-24
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: Fair · Site: Pain, Itching · Muscle or body achesFree text: Left arm very achyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-26
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Took aleve to reduce symptoms. Symptoms are sever without taking aleve.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-05-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · HeadacheAdult check-in
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2021-05-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2021-05-31
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-06-07
- 2021-06-14
- 2021-06-21
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2021-06-28
Survey response — day 35, dose 2MedDRA: Ageusia, Fatigue, Pain in extremity — Feeling: FairFree text: The left arm that received the shot is still achy some days more than others. More tired than usual for no reason. Sense of taste has been off since i received the vaccines. Not sure if it related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-06
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2021-08-23
Survey response — 3 months, dose 2MedDRA: Headache, Pre-existing disease — Feeling: GoodFree text: I had headaches almost daily, though not sure if this is related. Prior to the vaccine, i had occasional headaches.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-23
Survey response — 6 months, dose 2MedDRA: Fatigue, Parosmia, Taste disorder — Feeling: GoodFree text: I failed to mention my issues with taste and smell. Still on-going. Still very tired all the time.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Moderna | |
| 2 | 2021-05-24 | Moderna |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Left arm very achy
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Took aleve to reduce symptoms. Symptoms are sever without taking aleve.
Release 9 — day 35, dose 2
Symptoms: The left arm that received the shot is still achy some days more than others. More tired than usual for no reason. Sense of taste has been off since i received the vaccines. Not sure if it related.
Release 9 — 3 months, dose 2
Symptoms: I had headaches almost daily, though not sure if this is related. Prior to the vaccine, i had occasional headaches.
Release 10 — 6 months, dose 2
Symptoms: I failed to mention my issues with taste and smell. Still on-going. Still very tired all the time.
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 | Ageusia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release