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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

  1. 2021-02-27
    Dose 1 — Moderna
  2. 2021-04-03
    Dose 2 — Moderna
  3. 2021-04-07
    Registered in v-safe
  4. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Contusion, Headache, Myalgia — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  5. 2021-04-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-04-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-05-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-07-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-10-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-12-03
    Dose 3 — Moderna
  14. 2022-04-03
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-06-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-12-03
    Survey response — 12 months, dose 3
    MedDRA: Arthritis, Back pain, Injection site hypoaesthesia, Musculoskeletal stiffness, Nasal congestion, Sneezing — Feeling: Good · Be unable to do your normal daily activities
    Free 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

DoseDateManufacturerCo-administered
12021-02-27Moderna
22021-04-03Moderna
32021-12-03Moderna No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

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

2022-12-03

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

FieldPreferred term2021-092023-042024-11
SDArthritis · · ✓
SDBack pain · · ✓
SDInjection site hypoaesthesia · · ✓
SDMusculoskeletal stiffness · · ✓
SDNasal congestion · · ✓
SDSneezing · · ✓
SROChills ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓

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