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
-
2021-03-08
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal dreams, Insomnia — Feeling: Good · Site: PainFree 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
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Joint effusion, Unevaluable event — Feeling: GoodFree 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
- 2021-03-13
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-03-15
- 2021-03-24
- 2021-03-29
-
2021-04-05
Dose 2 — Moderna
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-14
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-19
- 2021-07-07
-
2021-11-03
Dose 3 — Moderna
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: 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 activitiesAdult check-in
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body achesAdult check-in
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Gingival pain, Hyperaesthesia teeth, Sensitive skin, Skin burning sensation — Feeling: Fair · Site: Redness, Swelling, ItchingFree 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
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2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-11-09
- 2021-11-12
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2022-02-03
- 2022-05-06
-
2022-11-05
Survey response — 12 months, dose 3MedDRA: Arthralgia, Headache, Myalgia, Nausea, Sensitive skin, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Joint & muscle pain, nausea/vomiting, headache, skin sensitivityMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
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.
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Sensitive skin | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Anxiety | ○ | ✓ | ○ |
| SRO | Gingival pain | · | · | ✓ |
| SRO | Hyperaesthesia teeth | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Joint effusion | ○ | ✓ | ○ |
| SRO | Sensitive skin | · | · | ✓ |
| SRO | Skin burning sensation | · | · | ✓ |
| SRO | Unevaluable event | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release