4P4-31766-67760
3 vaccinations
5 coded responses
19 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 334 / FL
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
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2021-02-12
Dose 1 — Moderna
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2021-02-12
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-14
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Crohn's disease, Injection — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I took two injections of Cimzia (a biological medication) for Crohns- so that is probably why I feel so lousy today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I am on biological medications, Cimzia. Took the injection on Monday and I have felt this way since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Arthritis — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: These are all symptoms of my auto immune arthritis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: I think it is food poisoning? Not the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — day 14, dose 1MedDRA: Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have autoimmune and I am so sick, it is my autoimmune condition, I do not believe it is related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
-
2021-08-21
Dose 3 — Moderna
- 2021-09-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-08-21 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I took two injections of Cimzia (a biological medication) for Crohns- so that is probably why I feel so lousy today.
Systemic reaction (other): I am on biological medications, Cimzia. Took the injection on Monday and I have felt this way since.
Systemic reaction (other): These are all symptoms of my auto immune arthritis.
Release 4 — day 7, dose 1
Systemic reaction (other): I think it is food poisoning? Not the shot.
Release 4 — day 14, dose 1
Symptoms: I have autoimmune and I am so sick, it is my autoimmune condition, I do not believe it is related to the vaccine.
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 | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Crohn's disease | ✓ | ✓ | ✓ |
| SRO | Injection | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release