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
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2021-04-09
Dose 1 — Moderna
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2021-05-11
Registered in v-safe
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2021-05-11
Dose 2 — Moderna
- 2021-05-11
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2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Myalgia, Pyrexia, Sleep disorder — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree 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
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2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Diarrhoea, Fatigue, Injection site pain — Feeling: Good · Site: Pain · DiarrheaFree 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
- 2021-05-14
- 2021-05-15
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2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-17
- 2021-05-27
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2021-06-11
Survey response — day 28, dose 2MedDRA: Oropharyngeal pain — Feeling: FairFree text: Mild sore throat - beginning on 6/10 in the eveningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-06-22
- 2021-08-12
- 2021-11-09
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2022-05-11
Survey response — 12 months, dose 2MedDRA: Chest discomfort, Mobility decreased, Pain in extremity, Unevaluable event — Feeling: GoodFree text: My arm is still sore and limited mobility Also, I have had sensation in my chest & specifically feels like my heart muscleMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-11 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 2
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.
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
Symptoms: Mild sore throat - beginning on 6/10 in the evening
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chest discomfort | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release