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4MU-27754-64321

6 vaccinations 24 coded responses 81 check-ins 21 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
334 / FL
Registered
2021-03-04
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Survey response — day 0, dose 1
    MedDRA: Injected limb mobility decreased — Feeling: Good · Site: Pain
    Free text: Just tightness in my arm. Doesnt hurt unless I move it, but isnt horrible YET
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Just sore arm but is better today after icing and exercising it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising, Muscle tightness, Pain in extremity — Feeling: Good
    Free text: Arm feeling better but still a tad sore and tight. Bruise around injection site more pronounced. Over all feels better
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes in right armpit appeared this afternoon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-18
    Survey response — day 14, dose 1
    MedDRA: Contusion, Injection site warmth, Pruritus, Rash, Swelling — Feeling: Good
    Free text: On day 11, Covid arm, 3x2 rash, warm to the touch, with a bump. Still have it but it has improved a lot. I marked it with a marker and it did not grow. Did not hurt, only semi itchy. Bruise is still there also.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-01
    Dose 2 — Moderna
  14. 2021-04-01
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Insomnia — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea
    Free text: Sleeplessness. Been up since 1 am wide awake. Also dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Dizziness, Dyskinesia, Night sweats, Pyrexia, Self-medication, Somnolence — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea
    Free text: My fever was down to 99 at 7 pm last night. I fell asleep and woke up at 10:15 PM 36 hours after my second vaccine. My teeth were chattering so hard and I was shivering and then my limbs started jerking out of control I have never experienced anything like that. I was finally able to sit up to take two Tylenol. Eventually I fell asleep. I have always known about chills and teeth chattering I have never read about limbs jerking because I was so cold. When I woke up this morning after thankfully sleep through the night I was soaking wet but thankfully my fever broke. Today Im just a little dizzy and groggy but no fever and Im feeling better and I just started to get hungry.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site mass — Feeling: Good
    Free text: Arm where I had injection has a lump a few inches below just like shot 1
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-14
    Dose 3 — Moderna
  30. 2021-10-14
    Survey response — day 0, dose 3
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Just very sore arm in the last hour.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Feeling of body temperature change — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache · Be unable to do your normal daily activities
    Free text: Go between being hot and freezing cold
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness · Fever · Headache
    Adult check-in
  33. 2021-10-17
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site
    Free text: My fever finally broke at 6 PM last night. I feel like a new person
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Swollen lymph node in left armpit
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-10-19
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling
    Free text: Swollen lymph nodes in both armpits now
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-10-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  37. 2021-10-21
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-10-28
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-04
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-11
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-18
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-11-25
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-13
    Dose 4 — Moderna
  45. 2022-04-13
    Survey response — day 0, dose 4
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache
    Free text: Sore arm
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-04-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  47. 2022-04-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  48. 2022-04-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-04-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  51. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-04-20
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  53. 2022-04-27
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-05-04
    Survey response — day 21, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: For the last week I have very swollen lymph nodes in multiple places . Starting to get smaller but still there.
    MedDRA releases: 2024-11 · check-in free text available
  55. 2022-05-11
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-05-18
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-05-25
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-07-13
    Survey response — 3 months, dose 4
    MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I believe I had Covid last week
    MedDRA releases: 2024-11 · check-in free text available
  59. 2022-10-05
    Dose 5 — Moderna
  60. 2022-10-05
    Health check-in — day 0, dose 5
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  61. 2022-10-06
    Survey response — days 1–6 daily, dose 5
    MedDRA: Brain fog, Unevaluable event — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Brain fog. Feel a little better now. Arm feels better also.
    MedDRA releases: 2024-11 · check-in free text available
  62. 2022-10-07
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  63. 2022-10-08
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  64. 2022-10-09
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  65. 2022-10-10
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  66. 2022-10-11
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  67. 2022-10-12
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  68. 2022-10-19
    Survey response — day 14, dose 5
    MedDRA: Injection site mass, Vaccine positive rechallenge — Feeling: Good
    Free text: Lump a few inches under the injection. Had the same thing with the prior 4 also.
    MedDRA releases: 2024-11 · check-in free text available
  69. 2022-10-26
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  70. 2022-11-02
    Survey response — day 28, dose 5
    MedDRA: Lymphadenopathy, Office visit, Pruritus — Feeling: Good
    Free text: Swollen lymph nodes in neck and under arms. Dr said no concern. Last night and a little today horrific itching on the soles of my feet and the palms of my hands. Have never had this. Just had physical and blood work and all is good?.
    MedDRA releases: 2024-11 · check-in free text available
  71. 2022-11-09
    Survey response — day 35, dose 5
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Last weeks swollen lymph nodes gone, New ones have appeared in their place. Repeat of 2nd booster
    MedDRA releases: 2024-11 · check-in free text available
  72. 2022-11-16
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  73. 2023-01-04
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  74. 2023-04-05
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in
  75. 2023-04-28
    Dose 6 — Moderna
  76. 2023-04-28
    Health check-in — day 0, dose 6
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  77. 2023-04-29
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  78. 2023-04-30
    Survey response — days 1–6 daily, dose 6
    MedDRA: Malaise — Feeling: Good · Site: Pain · Headache, Nausea
    MedDRA releases: 2024-11
  79. 2023-05-01
    Survey response — days 1–6 daily, dose 6
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    MedDRA releases: 2024-11
  80. 2023-05-02
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · Site: Pain · None
    Adult check-in
  81. 2023-05-03
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · None
    Adult check-in
  82. 2023-05-04
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · None
    Adult check-in
  83. 2023-05-05
    Survey response — day 7, dose 6
    MedDRA: Urinary tract infection — Feeling: Fair · Fever
    MedDRA releases: 2024-11
  84. 2023-05-12
    Health check-in — day 14, dose 6
    Feeling: Good
    Adult check-in
  85. 2023-05-19
    Health check-in — day 21, dose 6
    Feeling: Good
    Adult check-in
  86. 2023-05-26
    Health check-in — day 28, dose 6
    Feeling: Good
    Adult check-in
  87. 2023-06-02
    Health check-in — day 35, dose 6
    Feeling: Good
    Adult check-in
  88. 2023-06-09
    Health check-in — day 42, dose 6
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna
32021-10-14Moderna No
42022-04-13Moderna No
52022-10-05Moderna No
62023-04-28Moderna No

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): Just tightness in my arm. Doesnt hurt unless I move it, but isnt horrible YET

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Just sore arm but is better today after icing and exercising it

2021-03-06

Systemic reaction (other): Arm feeling better but still a tad sore and tight. Bruise around injection site more pronounced. Over all feels better

2021-03-07

Systemic reaction (other): Swollen lymph nodes in right armpit appeared this afternoon

2021-03-08

Systemic reaction (other): Swollen lymph nodes

Release 5 — day 14, dose 1

2021-03-18

Symptoms: On day 11, Covid arm, 3x2 rash, warm to the touch, with a bump. Still have it but it has improved a lot. I marked it with a marker and it did not grow. Did not hurt, only semi itchy. Bruise is still there also.

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Sleeplessness. Been up since 1 am wide awake. Also dizzy

2021-04-03

Systemic reaction (other): My fever was down to 99 at 7 pm last night. I fell asleep and woke up at 10:15 PM 36 hours after my second vaccine. My teeth were chattering so hard and I was shivering and then my limbs started jerking out of control I have never experienced anything like that. I was finally able to sit up to take two Tylenol. Eventually I fell asleep. I have always known about chills and teeth chattering I have never read about limbs jerking because I was so cold. When I woke up this morning after thankfully sleep through the night I was soaking wet but thankfully my fever broke. Today Im just a little dizzy and groggy but no fever and Im feeling better and I just started to get hungry.

2021-04-04

Systemic reaction (other): Arm where I had injection has a lump a few inches below just like shot 1

Release 10 — day 0, dose 3

2021-10-14

Systemic reaction (other): Just very sore arm in the last hour.

Release 10 — days 1–6 daily, dose 3

2021-10-15

Systemic reaction (other): Go between being hot and freezing cold

2021-10-17

Systemic reaction (other): My fever finally broke at 6 PM last night. I feel like a new person

2021-10-18

Systemic reaction (other): Swollen lymph node in left armpit

2021-10-19

Systemic reaction (other): Swollen lymph nodes in both armpits now

Release 11 — day 0, dose 4

2022-04-13

Systemic reaction (other): Sore arm

Release 11 — day 21, dose 4

2022-05-04

Symptoms: For the last week I have very swollen lymph nodes in multiple places . Starting to get smaller but still there.

Release 12 — 3 months, dose 4

2022-07-13

Symptoms: I believe I had Covid last week

Release 12 — days 1–6 daily, dose 5

2022-10-06

Systemic reaction (other): Brain fog. Feel a little better now. Arm feels better also.

Release 12 — day 14, dose 5

2022-10-19

Symptoms: Lump a few inches under the injection. Had the same thing with the prior 4 also.

Release 12 — day 28, dose 5

2022-11-02

Symptoms: Swollen lymph nodes in neck and under arms. Dr said no concern. Last night and a little today horrific itching on the soles of my feet and the palms of my hands. Have never had this. Just had physical and blood work and all is good?.

Release 12 — day 35, dose 5

2022-11-09

Symptoms: Last weeks swollen lymph nodes gone, New ones have appeared in their place. Repeat of 2nd booster

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
SDContusion ✓ ✓ ✓
SDCOVID-19 · · ✓
SDInjection site mass · · ✓
SDInjection site warmth ✓ ✓ ✓
SDLymphadenopathy · · ✓
SDOffice visit · · ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SDVaccine positive rechallenge · · ✓
SROBrain fog · · ✓
SROChills ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyskinesia ✓ ✓ ✓
SROFeeling of body temperature change · · ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMalaise · · ✓
SROMuscle tightness ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SRONo adverse event · · ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROUnevaluable event · · ✓
SROUrinary tract infection · · ✓

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