4LS-30279-39732
3 vaccinations
2 coded responses
12 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Moderna
-
2021-04-03
Dose 2 — Moderna
-
2021-04-07
Registered in v-safe
-
2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Contusion, Headache, Myalgia — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: on my first vaccine 2-27-21 had bruising on the back of my left lower leg lasted a couple of days. Vaccine given on the left arm. Chills muscle aches and muscle pain along with a headache. (moderate) last 48 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-20
- 2021-07-03
- 2021-10-02
-
2021-12-03
Dose 3 — Moderna
- 2022-04-03
- 2022-06-03
-
2022-12-03
Survey response — 12 months, dose 3MedDRA: Arthritis, Back pain, Injection site hypoaesthesia, Musculoskeletal stiffness, Nasal congestion, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: Stuffy nose, sneezing. Lower back pain and hip with inflammation. Sometimes both arms get stiff and numb where shots were administered . Lasted 48 hours. Had flu shot in September and both covid vaccine with 2 boosters.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-04-03 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): on my first vaccine 2-27-21 had bruising on the back of my left lower leg lasted a couple of days. Vaccine given on the left arm. Chills muscle aches and muscle pain along with a headache. (moderate) last 48 hours.
Release 12 — 12 months, dose 3
Symptoms: Stuffy nose, sneezing. Lower back pain and hip with inflammation. Sometimes both arms get stiff and numb where shots were administered . Lasted 48 hours. Had flu shot in September and both covid vaccine with 2 boosters.
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 | Arthritis | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Injection site hypoaesthesia | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release