4XN-11881-25582
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 027 / MA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-15
Registered in v-safe
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2021-01-15
Dose 1 — Moderna
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2021-01-15
Survey response — day 0, dose 1MedDRA: Arthralgia, Feeling hot, Self-medication, Sinus disorder — Feeling: Fair · Site: Pain · Headache, Joint painsFree text: Joint pain in hand of arm I got vaccine. Feel like my breath is hot but dont have fever(97.5). Sinuses are reacting and feel flush. Benadryl is helping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Peripheral swelling — Feeling: Good · Site: Pain · Headache, Joint painsFree text: Joints achy and hand a little swelled only for arm that I got vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Injection site joint pain — Feeling: Good · Site: Pain · Joint painsFree text: Joint pain in arm/hand of the arm that I got vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Joint painsFree text: The hand of the arm I got the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Joint painsFree text: Joint pain in the hand of the arm I recd vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — day 7, dose 1MedDRA: Arthralgia, Myalgia — Feeling: Good · Joint pains, Muscle or body achesFree text: Joint & muscle aches of arm I received vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-02-05
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2021-02-12
Dose 2 — Moderna
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2021-02-12
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Joint pain in hand of arm I got vaccine. Feel like my breath is hot but dont have fever(97.5). Sinuses are reacting and feel flush. Benadryl is helping.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Joints achy and hand a little swelled only for arm that I got vaccine.
Systemic reaction (other): Joint pain in arm/hand of the arm that I got vaccine
Systemic reaction (other): The hand of the arm I got the vaccine
Systemic reaction (other): Joint pain in the hand of the arm I recd vaccine.
Release 2 — day 7, dose 1
Systemic reaction (other): Joint & muscle aches of arm I received vaccine.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Injection site joint pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release