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4RU-31777-87895

1 vaccination 4 coded responses 7 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
391 / MS
Registered
2021-07-23
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-23
    Registered in v-safe
  2. 2021-07-23
    Dose 1 — Moderna
  3. 2021-07-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities
    Free text: just my arm got pain but i working it out some
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-07-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Injection site pain — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities
    Free text: no every thing else good just woke up with a head ach an where they put the shot muscle is very soar
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-07-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities
    Free text: no its not as soa re as it was i feel pretty good today
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-07-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-08-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-10-22
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  9. 2022-01-21
    Survey response — 6 months, dose 1
    MedDRA: Ageusia, Anosmia, COVID-19, Headache, Self-medication — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: i did come down with the cobic a little while ago like 5 mths ago got test test posible for cobic couldnt smell drink taste had a tirrible headach for 4 days straight took alive an i b prop to stop the headaches couldnt stop well i got to go back to
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-01-21
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  11. 2022-01-25

Vaccinations

DoseDateManufacturerCo-administered
12021-07-23Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-24

Systemic reaction (other): just my arm got pain but i working it out some

2021-07-25

Systemic reaction (other): no every thing else good just woke up with a head ach an where they put the shot muscle is very soar

2021-07-26

Systemic reaction (other): no its not as soa re as it was i feel pretty good today

Release 11 — 6 months, dose 1

2022-01-21

Symptoms: i did come down with the cobic a little while ago like 5 mths ago got test test posible for cobic couldnt smell drink taste had a tirrible headach for 4 days straight took alive an i b prop to stop the headaches couldnt stop well i got to go back to cut off by CDC

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
SDAgeusia · · ✓
SDAnosmia · · ✓
SDCOVID-19 · · ✓
SDHeadache · · ✓
SDSelf-medication · · ✓
SROHeadache ✓ · ✓
SROInjection site pain ✓ · ✓
SROPain ✓ · ✓
SROPain in extremity ✓ · ✓

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