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5AX-24762-30552

3 vaccinations 6 coded responses 30 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
206 / MD
Registered
2021-03-04
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Dose 1 — Moderna
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Dose 2 — Moderna
  4. 2021-03-04
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Runny and stuffy nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lacrimation increased, Nasal congestion — Feeling: Fair · Site: Pain · Headache
    Free text: Running right eye. Running/stuff nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-25
    Survey response — day 21, dose 2
    MedDRA: Limb discomfort, Musculoskeletal discomfort, Pain, Pain in extremity — Feeling: Good
    Free text: My left hand feels funny and it hurts when I try use it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-01
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Pain — Feeling: Good
    Free text: My left wrist hurts when I try to pick up things
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-05
    Survey response — 3 months, dose 2
    MedDRA: Jaw clicking, Trismus — Feeling: Good
    Free text: My left jaw cracks when opened to wide. It goes out place and iI have to move it to put back in place. I will be seeing a dentist about this to see if anything ca be done.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-09-02
    Survey response — 6 months, dose 2
    MedDRA: Jaw clicking, Trismus — Feeling: Good
    Free text: The left side of my jaw cracks when opening wide . When eating my left side only opens so much to get the food in
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-12-10
    Dose 3 — Moderna
  20. 2021-12-10
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  21. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  22. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-12-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-12-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-12-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-12-17
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-12-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-31
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-08
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-01-14
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-01-21
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-03-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-12-10
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna
22021-03-04Moderna
32021-12-10Moderna No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Runny and stuffy nose

2021-03-06

Systemic reaction (other): Running right eye. Running/stuff nose

Release 6 — day 21, dose 2

2021-03-25

Symptoms: My left hand feels funny and it hurts when I try use it

Release 6 — day 28, dose 2

2021-04-01

Symptoms: My left wrist hurts when I try to pick up things

Release 8 — 3 months, dose 2

2021-06-05

Symptoms: My left jaw cracks when opened to wide. It goes out place and iI have to move it to put back in place. I will be seeing a dentist about this to see if anything ca be done.

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: The left side of my jaw cracks when opening wide . When eating my left side only opens so much to get the food in

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
SDArthralgia ✓ ✓ ✓
SDJaw clicking ✓ ✓ ✓
SDLimb discomfort ✓ · ✓
SDMusculoskeletal discomfort ○ ✓ ○
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDTrismus ✓ ✓ ✓
SROLacrimation increased ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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