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
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
-
2021-03-22
Survey response — day 0, dose 1MedDRA: Immediate post-injection reaction, Paraesthesia oral — Feeling: Fair · Fever · Fatigue or tirednessFree text: Tingling on lips minutes after vaccine, solved after about 30 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Therapeutic response unexpected — Feeling: Good · Site: Pain · HeadacheFree 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
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms — Feeling: GoodFree 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
- 2021-03-25
- 2021-03-26
- 2021-03-28
- 2021-03-30
- 2021-04-05
- 2021-04-12
-
2021-04-19
Dose 2 — Moderna
- 2021-04-26
-
2021-05-03
Survey response — day 14, dose 2MedDRA: Abdominal pain, Fatigue — Feeling: FairFree text: Abdominal pain, extremely tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
-
2021-06-02
Survey response — day 42, dose 2MedDRA: Palpitations — Feeling: GoodFree text: PalpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Tingling on lips minutes after vaccine, solved after about 30 minutes
Release 6 — days 1–6 daily, dose 1
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.
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
Symptoms: Abdominal pain, extremely tired
Release 8 — day 42, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release