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
-
2021-07-23
Registered in v-safe
-
2021-07-23
Dose 1 — Moderna
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2021-07-24
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: just my arm got pain but i working it out someMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-25
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Injection site pain — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesFree text: no every thing else good just woke up with a head ach an where they put the shot muscle is very soarMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-26
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: no its not as soa re as it was i feel pretty good todayMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-30
- 2021-08-06
- 2021-10-22
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2022-01-21
Survey response — 6 months, dose 1MedDRA: 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 visitFree 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 toMedDRA releases: 2024-11 · check-in free text available
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2022-01-21
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-23 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): just my arm got pain but i working it out some
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
Systemic reaction (other): no its not as soa re as it was i feel pretty good today
Release 11 — 6 months, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Injection site pain | ✓ | · | ✓ |
| SRO | Pain | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release