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4QP-27569-29155

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
206 / MD
Registered
2021-03-22
Relationship
Self
Race
Multiracial
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-22
    Registered in v-safe
  2. 2021-03-22
    Dose 1 — Moderna
  3. 2021-03-22
    Survey response — day 0, dose 1
    MedDRA: Immediate post-injection reaction, Paraesthesia oral — Feeling: Fair · Fever · Fatigue or tiredness
    Free text: Tingling on lips minutes after vaccine, solved after about 30 minutes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease, Therapeutic response unexpected — Feeling: Good · Site: Pain · Headache
    Free text: I feel better than I have felt in about 20 years, I suffer from muscle spasms and after the vaccine yesterday strangely my pain is 70% better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscle spasms — Feeling: Good
    Free text: Unexplained improvement of chronic muscle spasms that i have suffered from for 20 years, immediately after vaccine I began to feel my muscles relaxing. Wondering if any ingredient on the vaccine has this effect?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-30
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  10. 2021-04-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-19
    Dose 2 — Moderna
  13. 2021-04-26
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-05-03
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain, Fatigue — Feeling: Fair
    Free text: Abdominal pain, extremely tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-02
    Survey response — day 42, dose 2
    MedDRA: Palpitations — Feeling: Good
    Free text: Palpitations
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna
22021-04-19Moderna

Free text

Release 6 — day 0, dose 1

2021-03-22

Systemic reaction (other): Tingling on lips minutes after vaccine, solved after about 30 minutes

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): I feel better than I have felt in about 20 years, I suffer from muscle spasms and after the vaccine yesterday strangely my pain is 70% better.

2021-03-24

Systemic reaction (other): Unexplained improvement of chronic muscle spasms that i have suffered from for 20 years, immediately after vaccine I began to feel my muscles relaxing. Wondering if any ingredient on the vaccine has this effect?

Release 8 — day 14, dose 2

2021-05-03

Symptoms: Abdominal pain, extremely tired

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Palpitations

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
SDAbdominal pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROTherapeutic response unexpected ✓ ✓ ✓

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