4TY-16319-96810
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 021 / MA
- Registered
- 2021-05-06
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-06
Registered in v-safe
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2021-05-06
Dose 1 — Moderna
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2021-05-06
Survey response — day 0, dose 1MedDRA: Injection site pain, Pain in extremity — Feeling: GoodFree text: My arm/meat around the injection site is slightly sore/tender.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Arm/injection site is still tender, but I can still use my arm without any real concern.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Tenderness around the injection site is nearly gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Survey response — days 1–6 daily, dose 1MedDRA: Tenderness — Feeling: GoodFree text: Tenderness completely gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-20
- 2021-05-27
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2021-06-03
Dose 2 — Moderna
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2021-06-03
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Arm sorness around the injection site. Not sure ot qualifies as musce aches though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Feeling hot, Muscle spasms, Pyrexia, Tremor — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: My skin feels hot everywhere -- before and after the fever. I had tremors/muscle spasms with the chills.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
- 2021-06-07
- 2021-06-08
- 2021-06-09
- 2021-06-10
- 2021-06-17
- 2021-06-26
- 2021-07-01
- 2021-07-08
- 2021-07-15
- 2021-09-02
- 2022-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-06 | Moderna | |
| 2 | 2021-06-03 | Moderna |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): My arm/meat around the injection site is slightly sore/tender.
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Arm/injection site is still tender, but I can still use my arm without any real concern.
Systemic reaction (other): Tenderness around the injection site is nearly gone.
Systemic reaction (other): Tenderness completely gone.
Release 8 — day 0, dose 2
Systemic reaction (other): Arm sorness around the injection site. Not sure ot qualifies as musce aches though.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My skin feels hot everywhere -- before and after the fever. I had tremors/muscle spasms with the chills.
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ○ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release