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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

  1. 2021-06-16
    Registered in v-safe
  2. 2021-06-16
    Dose 1 — Moderna
  3. 2021-06-16
    Survey response — day 0, dose 1
    MedDRA: Paraesthesia — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Tingling on arm and fingers and leg
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-06-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Nasopharyngitis, Sneezing — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Some symptoms like if Im having a cold, sneezing a little, coughing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free 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
  6. 2021-06-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Muscle spasms, Photophobia — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Cramping on leg, back pain, sensitivity to brightness,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-06-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-06-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-06-23
    Survey response — day 7, dose 1
    MedDRA: 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 activities
    Free text: Pain in lungs, coughing, swollen lymph node left armpit, cramps on left leg, face twitch left side, sleep paralysis episode, numbness left hand
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-30
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-07-07
    Survey response — day 21, dose 1
    MedDRA: Headache, Limb discomfort, Pruritus — Feeling: Fair
    Free 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

DoseDateManufacturerCo-administered
12021-06-16Moderna

Free text

Release 9 — day 0, dose 1

2021-06-16

Systemic reaction (other): Tingling on arm and fingers and leg

Release 9 — days 1–6 daily, dose 1

2021-06-17

Systemic reaction (other): Some symptoms like if Im having a cold, sneezing a little, coughing

2021-06-18

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.

2021-06-19

Systemic reaction (other): Cramping on leg, back pain, sensitivity to brightness,

Release 9 — day 7, dose 1

2021-06-23

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

2021-07-07

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

FieldPreferred term2021-092023-042024-11
SDHeadache ✓ ✓ ✓
SDLimb discomfort ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROMuscle twitching ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SROOropharyngeal discomfort ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROParalysis ✓ ✓ ✓
SROPhotophobia ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROPulmonary pain ✓ ✓ ✓
SROSneezing ✓ ✓ ✓

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