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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

  1. 2021-02-17
    Registered in v-safe
  2. 2021-02-17
    Dose 1 — Moderna
  3. 2021-02-17
    Survey response — day 0, dose 1
    MedDRA: Feeling hot — Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Very warm feeling off and on
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Swelling · Fever · Fatigue or tiredness
    Adult check-in
  5. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  6. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Fatigue or tiredness
    Adult check-in
  8. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  9. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  10. 2021-02-24
    Health check-in — day 7, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  11. 2021-03-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-10
    Survey response — day 21, dose 1
    MedDRA: Hot flush, Musculoskeletal stiffness — Feeling: Good
    Free 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
  13. 2021-03-17
    Dose 2 — Moderna
  14. 2021-03-24
    Health check-in — day 7, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-04-07
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-04-14
    Survey response — day 28, dose 2
    MedDRA: Back pain, Discomfort — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Discomfort in kidney and back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-21
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-04-28
    Survey response — day 42, dose 2
    MedDRA: Arthritis, Depressed mood, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  20. 2021-06-16
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Discomfort, Limb discomfort — Feeling: Poor · Be unable to do your normal daily activities
    Free 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
  21. 2021-09-15
    Survey response — 6 months, dose 2
    MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Body aches all over and very tired lately
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-03-17
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Moderna
22021-03-17Moderna

Free text

Release 4 — day 0, dose 1

2021-02-17

Systemic reaction (other): Very warm feeling off and on

Release 5 — day 21, dose 1

2021-03-10

Symptoms: Sudden stiff neck starting yesterday and today and periodically flashes of a hot feeling within my body.

Release 7 — day 28, dose 2

2021-04-14

Symptoms: Discomfort in kidney and back pain

Release 8 — day 42, dose 2

2021-04-28

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

2021-06-16

Symptoms: Discomfort from the lower back to all the way to both my legs.

Release 9 — 6 months, dose 2

2021-09-15

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

FieldPreferred term2021-092023-042024-11
SDArthritis ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDDepressed mood ✓ ✓ ✓
SDDiscomfort ✓ ✓ ✓
SDFatigue · · ✓
SDHeadache ✓ ✓ ✓
SDHot flush ✓ ✓ ✓
SDLimb discomfort ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDPain · · ✓
SROFeeling hot ✓ ✓ ✓

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