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4LB-16058-02668

3 vaccinations 4 coded responses 29 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
420 / KY
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Dose 1 — Moderna
  2. 2021-03-11
    Registered in v-safe
  3. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abnormal dreams, Insomnia — Feeling: Good · Site: Pain
    Free text: Stayed very alert on the day of vaccination. Couldnt get to sleep until 3:00am, had extremely vivid and detailed dreams - highly unusual occurrence for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anxiety, Joint effusion, Unevaluable event — Feeling: Good
    Free text: I am very concerned about receiving a cortisone shot for my knee yesterday. Doctor told me there werent any problems with interfering with my first Moderna vaccine on Monday. But from what I read afterwards, I shouldnt have gotten the cortisol so soon after my vaccine. Now am really worried. Is that going to cause health problems for me?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-03-15
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-05
    Dose 2 — Moderna
  11. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-04-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-03
    Dose 3 — Moderna
  20. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  21. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches
    Adult check-in
  22. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Gingival pain, Hyperaesthesia teeth, Sensitive skin, Skin burning sensation — Feeling: Fair · Site: Redness, Swelling, Itching
    Free text: On my initial report I forgot to add extremely sensitive, almost like burning skin all over my body. Also, strangely throbbing, sensitive gums/teeth.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  24. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness · None
    Adult check-in
  25. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-11-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-02-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-05-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-11-05
    Survey response — 12 months, dose 3
    MedDRA: Arthralgia, Headache, Myalgia, Nausea, Sensitive skin, Vomiting — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Joint & muscle pain, nausea/vomiting, headache, skin sensitivity
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna
22021-04-05Moderna
32021-11-03Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Stayed very alert on the day of vaccination. Couldnt get to sleep until 3:00am, had extremely vivid and detailed dreams - highly unusual occurrence for me.

2021-03-12

Systemic reaction (other): I am very concerned about receiving a cortisone shot for my knee yesterday. Doctor told me there werent any problems with interfering with my first Moderna vaccine on Monday. But from what I read afterwards, I shouldnt have gotten the cortisol so soon after my vaccine. Now am really worried. Is that going to cause health problems for me?

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): On my initial report I forgot to add extremely sensitive, almost like burning skin all over my body. Also, strangely throbbing, sensitive gums/teeth.

Release 12 — 12 months, dose 3

2022-11-05

Symptoms: Joint & muscle pain, nausea/vomiting, headache, skin sensitivity

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
SDArthralgia · · ✓
SDHeadache · · ✓
SDMyalgia · · ✓
SDNausea · · ✓
SDSensitive skin · · ✓
SDVomiting · · ✓
SROAbnormal dreams ✓ ✓ ✓
SROAnxiety ○ ✓ ○
SROGingival pain · · ✓
SROHyperaesthesia teeth · · ✓
SROInsomnia ✓ ✓ ✓
SROJoint effusion ○ ✓ ○
SROSensitive skin · · ✓
SROSkin burning sensation · · ✓
SROUnevaluable event ✓ · ✓

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