4RV-19074-56422
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 458 / OH
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
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2021-02-17
Survey response — day 0, dose 1MedDRA: Feeling hot — Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very warm feeling off and onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Fever · Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-20
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2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
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2021-03-10
Survey response — day 21, dose 1MedDRA: Hot flush, Musculoskeletal stiffness — Feeling: GoodFree text: Sudden stiff neck starting yesterday and today and periodically flashes of a hot feeling within my body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Dose 2 — Moderna
-
2021-03-24
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-07
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2021-04-14
Survey response — day 28, dose 2MedDRA: Back pain, Discomfort — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Discomfort in kidney and back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
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2021-04-28
Survey response — day 42, dose 2MedDRA: Arthritis, Depressed mood, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Knee discomfort . Periods of sharp head pain periodically. Feeling a little depressed for no reason for about 4 days and then it lifted.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Survey response — 3 months, dose 2MedDRA: Back pain, Discomfort, Limb discomfort — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Discomfort from the lower back to all the way to both my legs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-15
Survey response — 6 months, dose 2MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Body aches all over and very tired latelyMedDRA releases: 2024-11 · check-in free text available
- 2022-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Very warm feeling off and on
Release 5 — day 21, dose 1
Symptoms: Sudden stiff neck starting yesterday and today and periodically flashes of a hot feeling within my body.
Release 7 — day 28, dose 2
Symptoms: Discomfort in kidney and back pain
Release 8 — day 42, dose 2
Symptoms: Knee discomfort . Periods of sharp head pain periodically. Feeling a little depressed for no reason for about 4 days and then it lifted.
Release 9 — 3 months, dose 2
Symptoms: Discomfort from the lower back to all the way to both my legs.
Release 9 — 6 months, dose 2
Symptoms: Body aches all over and very tired lately
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 | Arthritis | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Depressed mood | ✓ | ✓ | ✓ |
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release