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53H-29791-35712

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
846 / UT
Registered
2021-05-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-19
    Registered in v-safe
  2. 2021-05-19
    Dose 1 — Moderna
  3. 2021-05-19
    Survey response — day 0, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free text: Before vaccine had some anxiety
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Seemed to attack my wrist that I sprained 3 weeks ago. After an hour it subsided.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-05-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-05-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-05-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-05-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-06-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-06-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-06-16
    Dose 2 — Moderna
  14. 2021-06-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: REALLY bad back ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  16. 2021-06-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-06-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: I had an intense "attack" of lower back pain like I did on the second day after my shot. It lasted several hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-06-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-06-23
    Survey response — day 7, dose 2
    MedDRA: Headache — Feeling: Good · Headache
    Free text: I think the headaches was from too much sugar!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-07-02
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Arthropathy — Feeling: Good · Be unable to do your normal daily activities
    Free text: It is probably not related at all but I am having some painful gleno-humeral joint problems in the shoulder of the arm in which I got my Covid vaccination shots.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-07-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-06-18
    Survey response — 12 months, dose 2
    MedDRA: Fatigue, Headache, Pain — Feeling: Good
    Free text: Headache, tired, achy
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-19Moderna
22021-06-16Moderna

Free text

Release 8 — day 0, dose 1

2021-05-19

Systemic reaction (other): Before vaccine had some anxiety

Release 8 — days 1–6 daily, dose 1

2021-05-20

Systemic reaction (other): Seemed to attack my wrist that I sprained 3 weeks ago. After an hour it subsided.

Release 9 — days 1–6 daily, dose 2

2021-06-17

Systemic reaction (other): REALLY bad back ache

2021-06-20

Systemic reaction (other): I had an intense "attack" of lower back pain like I did on the second day after my shot. It lasted several hours.

Release 9 — day 7, dose 2

2021-06-23

Systemic reaction (other): I think the headaches was from too much sugar!

Release 9 — day 14, dose 2

2021-07-02

Symptoms: It is probably not related at all but I am having some painful gleno-humeral joint problems in the shoulder of the arm in which I got my Covid vaccination shots.

Release 12 — 12 months, dose 2

2022-06-18

Symptoms: Headache, tired, achy

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
SDArthralgia ✓ ✓ ✓
SDArthropathy ✓ ✓ ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDPain · · ✓
SROBack pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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