4MJ-30831-89222
5 vaccinations
2 coded responses
26 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 105 / NY
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-03-04
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
-
2021-03-11
Survey response — day 7, dose 1MedDRA: Arthralgia, Limb immobilisation, Menstruation irregular, Pain, Pain in extremity — Feeling: GoodFree text: The first two days after my injection, I had severe arm pain that radiated into my shoulder so that I couldnt use that arm. My menstrual period also started the day after I was vaccinated, which was almost two weeks early. The arm pain faded away on the third day after injection, and there were no other side effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-25
-
2021-04-01
Dose 2 — Moderna
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2021-04-01
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Eye pain, Eye swelling, Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Elevated heart rate and shortness of breath, which is better now. Eye pain and eye swelling, which are also getting better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-06
- 2021-04-09
- 2021-04-15
- 2021-04-22
- 2021-05-02
- 2021-05-07
- 2021-05-13
- 2021-07-02
- 2021-10-02
-
2021-11-16
Dose 3 — Moderna
- 2022-04-03
- 2022-05-17
-
2022-06-20
Dose 4 — Pfizer-BioNTech
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2022-12-09
Dose 5 — Pfizer-BioNTech
- 2022-12-18
- 2022-12-23
- 2022-12-30
- 2023-01-06
- 2023-01-13
- 2023-01-20
- 2023-03-12
- 2023-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-06-20 | Pfizer-BioNTech | No |
| 5 | 2022-12-09 | Pfizer-BioNTech | No |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): The first two days after my injection, I had severe arm pain that radiated into my shoulder so that I couldnt use that arm. My menstrual period also started the day after I was vaccinated, which was almost two weeks early. The arm pain faded away on the third day after injection, and there were no other side effects.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Elevated heart rate and shortness of breath, which is better now. Eye pain and eye swelling, which are also getting better now.
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Limb immobilisation | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release