573-14512-02936
4 vaccinations
9 coded responses
39 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 941 / CA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-21
Registered in v-safe
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2021-01-21
Dose 1 — Moderna
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Muscle pain only in upper arm of injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body achesFree text: Less muscular pain in arm of shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal discomfort — Feeling: Good · Muscle or body achesFree text: Scapula-minimal discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal discomfort — Feeling: Good · Muscle or body achesFree text: Scapular discomfort-mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
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2021-01-28
Survey response — day 7, dose 1MedDRA: Pain — Feeling: Good · Headache, Muscle or body achesFree text: Still scapular pain on movement - mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — day 14, dose 1MedDRA: Myalgia, Pain in extremity, Tenderness — Feeling: GoodFree text: Trapezius pain still there. Thursday Jan 28 after check in, pain traveled down arm to pinky. Palm very tender. Have not had any injuries or exercise to cause muscle pain/sprains. Could it be nerve related. If pressed, can still feel shot tenderness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
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2021-02-18
Dose 2 — Moderna
- 2021-02-18
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Malaise, Pain, Self-medication — Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Took 200mg at onset of temperature rise from 97.3 to 98.2 within 3 hours. All achy/ill feelings went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
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2021-08-19
Survey response — 6 months, dose 2MedDRA: Cough, Oropharyngeal pain, Productive cough, Throat clearing — Feeling: FairFree text: Sore throat, occasional coughing. Maybe due to smoke in air. Need to clear throat of phlegm. Going to get tested todayMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-12-11
Dose 3 — Moderna
- 2022-02-18
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2022-04-30
Dose 4 — Moderna
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2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
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2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-04
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Good · Headache, Fatigue or tirednessFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-06-04
- 2022-06-11
- 2022-07-30
- 2023-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
| 4 | 2022-04-30 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle pain only in upper arm of injection.
Systemic reaction (other): Less muscular pain in arm of shot.
Systemic reaction (other): Scapula-minimal discomfort
Systemic reaction (other): Scapular discomfort-mild
Release 3 — day 7, dose 1
Systemic reaction (other): Still scapular pain on movement - mild
Release 3 — day 14, dose 1
Symptoms: Trapezius pain still there. Thursday Jan 28 after check in, pain traveled down arm to pinky. Palm very tender. Have not had any injuries or exercise to cause muscle pain/sprains. Could it be nerve related. If pressed, can still feel shot tenderness. cut off by CDC
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Took 200mg at onset of temperature rise from 97.3 to 98.2 within 3 hours. All achy/ill feelings went away.
Release 9 — 6 months, dose 2
Symptoms: Sore throat, occasional coughing. Maybe due to smoke in air. Need to clear throat of phlegm. Going to get tested today
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Dizziness
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 | Cough | ✓ | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SD | Throat clearing | ✓ | · | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release