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
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2021-01-02
Dose 1 — Moderna
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2021-01-04
Registered in v-safe
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Erythema — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree 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
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Blepharospasm, Pre-existing disease, Tinnitus — Feeling: Good · Joint painsFree 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
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2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Bone pain, Ear discomfort — Feeling: FairFree 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
- 2021-01-07
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Contusion — Feeling: GoodFree text: Arm is bruised and appears to be getting larger.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-16
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2021-01-23
Survey response — day 21, dose 1MedDRA: Blepharospasm — Feeling: GoodFree text: My left eye keeps twitching. May be unrelated to vaccine, just letting y'all knowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
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2021-02-02
Dose 2 — Moderna
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-10
- 2021-02-16
- 2021-02-25
- 2021-03-02
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2021-03-09
Survey response — day 35, dose 2MedDRA: Adverse reaction — Feeling: FairFree text: My heart and left lung feel different.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — day 42, dose 2MedDRA: Cardiac discomfort, Chest discomfort, Fatigue, Thinking abnormal — Feeling: FairFree 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
- 2021-05-06
- 2021-08-03
- 2022-02-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): The symptoms were more yesterday than today. My face was also red yesterday and I had chills . .
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.
Systemic reaction (other): My feet hurt in my bones. My left ear feels different.
Systemic reaction (other): Arm is bruised and appears to be getting larger.
Release 2 — day 21, dose 1
Symptoms: My left eye keeps twitching. May be unrelated to vaccine, just letting y'all know
Release 5 — day 35, dose 2
Symptoms: My heart and left lung feel different.
Release 5 — day 42, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Blepharospasm | ✓ | ✓ | ✓ |
| SD | Cardiac discomfort | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Thinking abnormal | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Blepharospasm | ✓ | ✓ | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release