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5CY-17008-84888

2 vaccinations 6 coded responses 9 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
931 / CA
Registered
2021-04-04
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-04-03
    Dose 2 — Moderna
  3. 2021-04-04
    Registered in v-safe
  4. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches
    Free text: The area of the injection feels hot to the touch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Free text: Injection site is hot to the touch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: New daily persistent headache — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: The headaches happen daily.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Depression — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I'm very depressed. Don't know why.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-10
    Health check-in — day 7, dose 2
    Feeling: Poor · Headache, Joint pains
    Adult check-in
  10. 2021-04-17
    Survey response — day 14, dose 2
    MedDRA: Musculoskeletal stiffness, Pain, Vision blurred — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Extreme stiffness of right side of my neck. Severe pain causing migraines on right side of face. Right eye blurred vision due to pain. This has been going on for THREE DAYS. Pain killers dont help. Only sleep helps.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-04
    Survey response — day 28, dose 2
    MedDRA: Migraine, Musculoskeletal stiffness, Neck pain, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My very painful stiff neck continues. Migraines result from the pain including blurred vision of my right eye. NOTHING helps it, except sleep.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-04-03Moderna

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): The area of the injection feels hot to the touch.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Injection site is hot to the touch.

2021-04-07

Systemic reaction (other): The headaches happen daily.

2021-04-08

Systemic reaction (other): I'm very depressed. Don't know why.

Release 7 — day 14, dose 2

2021-04-17

Symptoms: Extreme stiffness of right side of my neck. Severe pain causing migraines on right side of face. Right eye blurred vision due to pain. This has been going on for THREE DAYS. Pain killers dont help. Only sleep helps.

Release 8 — day 28, dose 2

2021-05-04

Symptoms: My very painful stiff neck continues. Migraines result from the pain including blurred vision of my right eye. NOTHING helps it, except sleep.

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
SDMigraine ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SRODepression ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SRONew daily persistent headache ✓ ✓ ✓

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