5EY-26385-91737
4 vaccinations
11 coded responses
55 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 183 / PA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-11
Registered in v-safe
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2021-02-11
Dose 1 — Moderna
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2021-02-11
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Just soreness at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Injection site pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: The ache was at the site of injunction except for when I awoke t 1:42 am to discover that it had traveled down my arm into my elbow joint. But it did not keep me awake.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Myalgia — Feeling: Good · Site: Pain · Muscle or body achesFree text: None, and the muscle aches are very, very mild. Just slight soreness at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
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2021-02-25
Survey response — day 14, dose 1MedDRA: Abdominal discomfort — Feeling: Good · Be unable to do your normal daily activitiesFree text: Significant GI upset yesterday evening, overnight and this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
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2021-03-11
Dose 2 — Moderna
- 2021-03-11
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2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-14
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Mental impairment — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: A little brain fog. Reduced mental staminaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-09
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2021-10-28
Dose 3 — Moderna
- 2021-10-28
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Very minor soreness at the injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
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2022-08-20
Dose 4 — Moderna
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2022-08-20
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-08-21
Survey response — days 1–6 daily, dose 4MedDRA: Injection site warmth — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My arm at the injection site is slightly warm.MedDRA releases: 2024-11 · check-in free text available
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2022-08-22
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-08-23
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: The pain at injection site is very slight. I may have very slight fatigue and very slight headache, but cannot justify clicking the box for those symptoms.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-24
- 2022-08-25
- 2022-08-26
- 2022-08-27
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2022-09-03
Survey response — day 14, dose 4MedDRA: Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: I was fatigued and 'dragging' for days and didn't do as much as usual. I had to rest more. I'm sure it was my body developing antibodies. I also had a slight headache.MedDRA releases: 2024-11 · check-in free text available
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2022-09-10
Survey response — day 21, dose 4MedDRA: Fatigue, Headache, Malaise — Feeling: FairFree text: Moments of fatigue, slight headache, and of feeling slightly unwell.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-17
- 2022-09-26
- 2022-10-01
- 2022-11-19
- 2023-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-08-20 | Moderna | No |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Just soreness at injection site.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): The ache was at the site of injunction except for when I awoke t 1:42 am to discover that it had traveled down my arm into my elbow joint. But it did not keep me awake.
Systemic reaction (other): None, and the muscle aches are very, very mild. Just slight soreness at the injection site.
Release 4 — day 14, dose 1
Symptoms: Significant GI upset yesterday evening, overnight and this morning.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): A little brain fog. Reduced mental stamina
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Very minor soreness at the injection site
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): My arm at the injection site is slightly warm.
Systemic reaction (other): Dizziness
Systemic reaction (other): The pain at injection site is very slight. I may have very slight fatigue and very slight headache, but cannot justify clicking the box for those symptoms.
Release 12 — day 14, dose 4
Symptoms: I was fatigued and 'dragging' for days and didn't do as much as usual. I had to rest more. I'm sure it was my body developing antibodies. I also had a slight headache.
Release 12 — day 21, dose 4
Symptoms: Moments of fatigue, slight headache, and of feeling slightly unwell.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Mental impairment | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release