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4WY-26112-40428

2 vaccinations 4 coded responses 21 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
435 / OH
Registered
2021-03-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Dose 1 — Moderna
  2. 2021-03-15
    Registered in v-safe
  3. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  4. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Good
    Free text: I have a crick in my neck on the shot side but I think I just slept on it wrong. I suffer from Fibromyalgia so I am used to living with pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-07
    Dose 2 — Moderna
  9. 2021-04-07
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Pain radiating up my neck on the side I received the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Bone pain, Bone swelling, Injection site pain, Neck pain, Self-medication — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness
    Free text: Pain from the shot site running up my neck. Had to pack it in ice in the night and my lymph node in my collar bone swollen and painful to the touch. Currently using a tense unit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Lung disorder, Lymph node pain, Sinus congestion — Feeling: Fair · Site: Itching · Fatigue or tiredness
    Free text: I am coughing repeatedly and this morning my sinuses were full and I felt as if I was getting something deep down in my lungs. My lymph node is better but still tender and I slept great last night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  16. 2021-04-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-04-07
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): I have a crick in my neck on the shot side but I think I just slept on it wrong. I suffer from Fibromyalgia so I am used to living with pain.

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Pain radiating up my neck on the side I received the shot.

2021-04-10

Systemic reaction (other): Pain from the shot site running up my neck. Had to pack it in ice in the night and my lymph node in my collar bone swollen and painful to the touch. Currently using a tense unit.

2021-04-11

Systemic reaction (other): I am coughing repeatedly and this morning my sinuses were full and I felt as if I was getting something deep down in my lungs. My lymph node is better but still tender and I slept great last night.

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
SROBone pain ✓ ✓ ✓
SROBone swelling ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLung disorder ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSinus congestion ✓ ✓ ✓

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