56R-32549-02930
3 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 240 / VA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: On first day injection arm hurt and felt mild overall ache 4-6+ injectionThe arm pain was felt on both arms the 2nd day, on third day was barelyirly noticable on arm with in injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-03
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Myalgia — Feeling: Good · Muscle or body achesFree text: Some muscle and joint ache in arm with shot but very minor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-12
- 2021-01-19
- 2021-01-26
-
2021-01-29
Dose 2 — Moderna
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-04-30
- 2021-07-30
-
2021-11-16
Dose 3 — Moderna
-
2022-01-29
Survey response — 12 months, dose 2MedDRA: Chills, Exposure to SARS-CoV-2, Headache, Increased viscosity of bronchial secretion, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid omicron symp 1-09-22. Sore throat headache aches congestion phlegm chokingly thick. Phlegmatic at 22 days after exposure. House member symptomatic 1-08-22 test antigen positive COVID-19 on 1-10-22. Sore throat, aches, chill, fever, congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): On first day injection arm hurt and felt mild overall ache 4-6+ injectionThe arm pain was felt on both arms the 2nd day, on third day was barelyirly noticable on arm with in injection.
Systemic reaction (other): Some muscle and joint ache in arm with shot but very minor.
Release 11 — 12 months, dose 2
Symptoms: Covid omicron symp 1-09-22. Sore throat headache aches congestion phlegm chokingly thick. Phlegmatic at 22 days after exposure. House member symptomatic 1-08-22 test antigen positive COVID-19 on 1-10-22. Sore throat, aches, chill, fever, congestion. cut off by CDC
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 | Chills | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Increased viscosity of bronchial secretion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release