5AK-14702-38872
3 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 339 / FL
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
- 2020-12-30
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Self-medication — Feeling: Good · Site: RednessFree text: Started to get a few little bumps on left cheek last HS- took 1 benadryl 25mg & no further problemMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-12
- 2021-01-19
- 2021-01-26
-
2021-01-28
Dose 2 — Moderna
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Gingival disorder, Injection site erythema, Oropharyngeal pain, Pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Body aches from waist up to shoulders.redness 2inches below injection site. Bilateral arm aches.Sore throat /gums inflamed around teethMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Joint pains, Muscle or body achesAdult check-in
-
2021-02-04
Survey response — day 7, dose 2MedDRA: Noninfective gingivitis — Feeling: GoodFree text: Inflamed gumsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Survey response — day 14, dose 2MedDRA: Arthralgia, Oral pain, Pre-existing disease — Feeling: GoodFree text: Had bilateral upper joint pain-& sore mouth I do have a hx. of arthritis symptoms with vaccinesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
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2021-04-29
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: Occasional arthritic pain jumping from hip to upper thighs to bilateral upper arms more rare and much mich better( arthritic pain is my allergy symptomsfor vaccines i have learned from nursing careerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-29
-
2021-08-21
Dose 3 — Moderna
-
2021-11-22
Survey response — 3 months, dose 3MedDRA: Chills, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: 3rd booster vac. 8/21/21 developed chills in 24 hrs then 100.4 day 2-101.4 Day 3- fever 102.4 Day4 all gone back to normal ( remember I react to vaccines)MedDRA releases: 2024-11 · check-in free text available
- 2022-02-19
- 2022-08-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-08-21 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Started to get a few little bumps on left cheek last HS- took 1 benadryl 25mg & no further problem
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Body aches from waist up to shoulders.redness 2inches below injection site. Bilateral arm aches.Sore throat /gums inflamed around teeth
Release 3 — day 7, dose 2
Systemic reaction (other): Inflamed gums
Release 4 — day 14, dose 2
Symptoms: Had bilateral upper joint pain-& sore mouth I do have a hx. of arthritis symptoms with vaccines
Release 8 — 3 months, dose 2
Symptoms: Occasional arthritic pain jumping from hip to upper thighs to bilateral upper arms more rare and much mich better( arthritic pain is my allergy symptomsfor vaccines i have learned from nursing career
Release 10 — 3 months, dose 3
Symptoms: 3rd booster vac. 8/21/21 developed chills in 24 hrs then 100.4 day 2-101.4 Day 3- fever 102.4 Day4 all gone back to normal ( remember I react to vaccines)
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Oral pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Gingival disorder | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Noninfective gingivitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Urticaria | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release