54J-77517-20685
3 vaccinations
7 coded responses
25 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 024 / MA
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Moderna
-
2021-03-07
Registered in v-safe
- 2021-03-07
-
2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Rash extended right above injection to end of deltoid muscleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Increased appetite, Nausea — Feeling: Good · Site: PainFree text: Correction from last two days. Noticed i felt hungry more than usual so eat more. Figured out last night feeling was actually nasusea. So from evening of 8th to enening of 9th had nausea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Poor · Fever · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: GastrointestinalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-14
Health check-in — day 7, dose 1Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-22
Survey response — day 14, dose 1MedDRA: Rash — Feeling: GoodFree text: A rash on upper arm on side received 1st jab.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
-
2021-04-03
Dose 2 — Moderna
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Muscle discomfort, Pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Muscle abd body aches are sharp shootingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Yesterday and today muscle aches in neck on side receiving jab.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal stiffness, Pain, Vein disorder — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Stiffness on right side neck, bulging veins on temple near hairline left side, sharp shooting pains thtoughout bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-09
- 2021-04-13
- 2021-04-17
- 2021-04-25
- 2021-05-01
- 2021-05-09
- 2021-05-15
- 2021-07-04
- 2021-10-03
-
2021-12-08
Dose 3 — Moderna
- 2022-04-08
- 2022-06-12
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Rash extended right above injection to end of deltoid muscle
Systemic reaction (other): Correction from last two days. Noticed i felt hungry more than usual so eat more. Figured out last night feeling was actually nasusea. So from evening of 8th to enening of 9th had nausea.
Systemic reaction (other): Gastrointestinal
Release 6 — day 14, dose 1
Symptoms: A rash on upper arm on side received 1st jab.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle abd body aches are sharp shooting
Systemic reaction (other): Yesterday and today muscle aches in neck on side receiving jab.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Stiffness on right side neck, bulging veins on temple near hairline left side, sharp shooting pains thtoughout body
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 | Rash | ✓ | ✓ | ✓ |
| SRO | Increased appetite | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Muscle discomfort | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vein disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release