4PL-26253-72454
2 vaccinations
4 coded responses
6 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 857 / AZ
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
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2021-02-24
Dose 2 — Moderna
-
2021-03-16
Registered in v-safe
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2021-03-16
Survey response — day 14, dose 2MedDRA: Arthralgia, Body temperature increased, Headache, Nausea, Pain, Pain in extremity, Self-medication — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: After my second shot I had a fever of 100 for 3 days. My entire body hurt, mostly my legs. I could not keep them still because of the pain. I had a headache and nausea. My shoulder hurt for 10 day. I alternated between Tylenol and Advil for 3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
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2021-03-24
Survey response — day 28, dose 2MedDRA: Nasal congestion, Paranasal sinus discomfort — Feeling: GoodFree text: Stuffed nose and sinus pressure. I am attributing it to allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 35, dose 2MedDRA: Hypoaesthesia, Injection site reaction — Feeling: FairFree text: I am still having twinges of pain in my shoulder that received the injection. It feels like an impingement. It is not all the time. Just with certain movements. I wake with numbness at the tip of my middle finger. It goes away with movement.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — day 42, dose 2MedDRA: Oral herpes — Feeling: FairFree text: I have a fever blister on my mouth. It has been several years since I have had one this size. It was 3 little ones making a big one.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Free text
Release 5 — day 14, dose 2
Symptoms: After my second shot I had a fever of 100 for 3 days. My entire body hurt, mostly my legs. I could not keep them still because of the pain. I had a headache and nausea. My shoulder hurt for 10 day. I alternated between Tylenol and Advil for 3 days. cut off by CDC
Release 6 — day 28, dose 2
Symptoms: Stuffed nose and sinus pressure. I am attributing it to allergies.
Release 6 — day 35, dose 2
Symptoms: I am still having twinges of pain in my shoulder that received the injection. It feels like an impingement. It is not all the time. Just with certain movements. I wake with numbness at the tip of my middle finger. It goes away with movement.
Release 7 — day 42, dose 2
Symptoms: I have a fever blister on my mouth. It has been several years since I have had one this size. It was 3 little ones making a big one.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Body temperature increased | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release