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52U-28564-11121

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
380 / TN
Registered
2021-01-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-04
    Registered in v-safe
  3. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Erythema — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: The symptoms were more yesterday than today. My face was also red yesterday and I had chills . .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Blepharospasm, Pre-existing disease, Tinnitus — Feeling: Good · Joint pains
    Free text: I heard a high pitch sound once today and my eyelids quivered, but neither lasted very long. I have arthitis in my knees and they have hurt really bad since i had covid last August. They still hurt , but i dont think it is vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Bone pain, Ear discomfort — Feeling: Fair
    Free text: My feet hurt in my bones. My left ear feels different.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Contusion — Feeling: Good
    Free text: Arm is bruised and appears to be getting larger.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-23
    Survey response — day 21, dose 1
    MedDRA: Blepharospasm — Feeling: Good
    Free text: My left eye keeps twitching. May be unrelated to vaccine, just letting y'all know
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-30
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-02
    Dose 2 — Moderna
  13. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  14. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Joint pains
    Adult check-in
  15. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-09
    Survey response — day 35, dose 2
    MedDRA: Adverse reaction — Feeling: Fair
    Free text: My heart and left lung feel different.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-16
    Survey response — day 42, dose 2
    MedDRA: Cardiac discomfort, Chest discomfort, Fatigue, Thinking abnormal — Feeling: Fair
    Free text: My heart and left lung feel different . i feel tired and somewhat slow in my thimkimg .Similar to the way i felt when i had covid last August.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-08-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-02-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-02-02Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): The symptoms were more yesterday than today. My face was also red yesterday and I had chills . .

2021-01-05

Systemic reaction (other): I heard a high pitch sound once today and my eyelids quivered, but neither lasted very long. I have arthitis in my knees and they have hurt really bad since i had covid last August. They still hurt , but i dont think it is vaccine.

2021-01-06

Systemic reaction (other): My feet hurt in my bones. My left ear feels different.

2021-01-08

Systemic reaction (other): Arm is bruised and appears to be getting larger.

Release 2 — day 21, dose 1

2021-01-23

Symptoms: My left eye keeps twitching. May be unrelated to vaccine, just letting y'all know

Release 5 — day 35, dose 2

2021-03-09

Symptoms: My heart and left lung feel different.

Release 5 — day 42, dose 2

2021-03-16

Symptoms: My heart and left lung feel different . i feel tired and somewhat slow in my thimkimg .Similar to the way i felt when i had covid last August.

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
SDAdverse reaction ✓ ✓ ✓
SDBlepharospasm ✓ ✓ ✓
SDCardiac discomfort ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDThinking abnormal ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROBlepharospasm ✓ ✓ ✓
SROBone pain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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