57N-65527-47078
1 vaccination
6 coded responses
10 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 344 / FL
- Registered
- 2021-06-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-06-16
Registered in v-safe
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2021-06-16
Dose 1 — Moderna
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2021-06-16
Survey response — day 0, dose 1MedDRA: Paraesthesia — Feeling: Fair · Headache, Fatigue or tirednessFree text: Tingling on arm and fingers and legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Nasopharyngitis, Sneezing — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Some symptoms like if Im having a cold, sneezing a little, coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Musculoskeletal stiffness, Oropharyngeal discomfort, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Itching on the back of my neck and chest, coughing, discomfort on throat, a little stiffness on the back of my neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-19
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Muscle spasms, Photophobia — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Cramping on leg, back pain, sensitivity to brightness,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-20
- 2021-06-21
- 2021-06-22
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2021-06-23
Survey response — day 7, dose 1MedDRA: Cough, Hypoaesthesia, Lymphadenopathy, Muscle spasms, Muscle twitching, Paralysis, Pulmonary pain — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain in lungs, coughing, swollen lymph node left armpit, cramps on left leg, face twitch left side, sleep paralysis episode, numbness left handMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-30
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2021-07-07
Survey response — day 21, dose 1MedDRA: Headache, Limb discomfort, Pruritus — Feeling: FairFree text: Ive been experiencing frequent headaches as well as an itch and a little discomfort on the calf on my left leg (same side were I got my shot).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-16 | Moderna |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Tingling on arm and fingers and leg
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Some symptoms like if Im having a cold, sneezing a little, coughing
Systemic reaction (other): Itching on the back of my neck and chest, coughing, discomfort on throat, a little stiffness on the back of my neck.
Systemic reaction (other): Cramping on leg, back pain, sensitivity to brightness,
Release 9 — day 7, dose 1
Systemic reaction (other): Pain in lungs, coughing, swollen lymph node left armpit, cramps on left leg, face twitch left side, sleep paralysis episode, numbness left hand
Release 9 — day 21, dose 1
Symptoms: Ive been experiencing frequent headaches as well as an itch and a little discomfort on the calf on my left leg (same side were I got my shot).
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 | Headache | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Paralysis | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pulmonary pain | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release