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577-10339-65572

2 vaccinations 4 coded responses 14 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
900 / CA
Registered
2021-05-11
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-09
    Dose 1 — Moderna
  2. 2021-05-11
    Registered in v-safe
  3. 2021-05-11
    Dose 2 — Moderna
  4. 2021-05-11
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Myalgia, Pyrexia, Sleep disorder — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: My fever came on during the night, but was gone by morning. Joint & muscle pain made it difficult to sleep. Feeling better now, just a bit sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Diarrhoea, Fatigue, Injection site pain — Feeling: Good · Site: Pain · Diarrhea
    Free text: By the time I returned home from errands yesterday (after I had already checked in), I literally collapsed with exhaustion. My appetite was somewhat depressed last night; I kept it light. After retiring to bed early & napping through the second half of the afternoon, I feel much better today. With the exception of soreness at injection site & mild diarrhea, Im feeling more like myself.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  8. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  11. 2021-05-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-11
    Survey response — day 28, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair
    Free text: Mild sore throat - beginning on 6/10 in the evening
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-06-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-05-11
    Survey response — 12 months, dose 2
    MedDRA: Chest discomfort, Mobility decreased, Pain in extremity, Unevaluable event — Feeling: Good
    Free text: My arm is still sore and limited mobility Also, I have had sensation in my chest & specifically feels like my heart muscle
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-05-11Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): My fever came on during the night, but was gone by morning. Joint & muscle pain made it difficult to sleep. Feeling better now, just a bit sore.

2021-05-13

Systemic reaction (other): By the time I returned home from errands yesterday (after I had already checked in), I literally collapsed with exhaustion. My appetite was somewhat depressed last night; I kept it light. After retiring to bed early & napping through the second half of the afternoon, I feel much better today. With the exception of soreness at injection site & mild diarrhea, Im feeling more like myself.

Release 9 — day 28, dose 2

2021-06-11

Symptoms: Mild sore throat - beginning on 6/10 in the evening

Release 11 — 12 months, dose 2

2022-05-11

Symptoms: My arm is still sore and limited mobility Also, I have had sensation in my chest & specifically feels like my heart muscle

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
SDChest discomfort · · ✓
SDMobility decreased · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain in extremity · · ✓
SDUnevaluable event · · ✓
SROArthralgia ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓

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