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5F3-18071-42235

1 vaccination 9 coded responses 13 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
720 / AR
Registered
2021-03-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-03-26
    Registered in v-safe
  3. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site erythema, Injection site nodule — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness
    Free text: Like a knot n arm w red spot where injection was
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypopnoea — Feeling: Fair · Site: Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My breathing feels kinda shallow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Joint pains, Fatigue or tiredness
    Free text: No ty waiting for my 2nd
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Chills kinda
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-01
    Health check-in — day 7, dose 1
    Feeling: Good · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  10. 2021-04-08
    Survey response — day 14, dose 1
    MedDRA: Chills, Hyperhidrosis, Self-medication — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Im breaking out n sweating spells then something's i have chills cant get warm til i take tylenol and go to bed! This never has happened to me ever before ..im scared of the 2nd...may not take it!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-15
    Survey response — day 21, dose 1
    MedDRA: Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I keep having fever. For 6dys straight i had low grade fevers between 99.8- 100.6. Skip a dy r 2 now then fever again..every other day since..today 99.4
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-22
    Survey response — day 28, dose 1
    MedDRA: Bone pain, Feeling cold — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Cold natured, aching deep n bones....i will not take a 2nd vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-01
    Survey response — day 35, dose 1
    MedDRA: Balance disorder, Bone pain, Chills, Malaise, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Aching bones, equilibrium off, feel like crap...i will not be getting a 2nd vaccine bc i had chills fever for a wk
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-06
    Survey response — day 42, dose 1
    MedDRA: Bone pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Aching deep n bones ...nothing OTC helps at all!!! I haven't taken my 2nd shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-26
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Like a knot n arm w red spot where injection was

2021-03-28

Systemic reaction (other): My breathing feels kinda shallow

2021-03-30

Systemic reaction (other): No ty waiting for my 2nd

2021-03-31

Systemic reaction (other): Chills kinda

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Im breaking out n sweating spells then something's i have chills cant get warm til i take tylenol and go to bed! This never has happened to me ever before ..im scared of the 2nd...may not take it!

Release 7 — day 21, dose 1

2021-04-15

Symptoms: I keep having fever. For 6dys straight i had low grade fevers between 99.8- 100.6. Skip a dy r 2 now then fever again..every other day since..today 99.4

Release 7 — day 28, dose 1

2021-04-22

Symptoms: Cold natured, aching deep n bones....i will not take a 2nd vaccine

Release 8 — day 35, dose 1

2021-05-01

Symptoms: Aching bones, equilibrium off, feel like crap...i will not be getting a 2nd vaccine bc i had chills fever for a wk

Release 8 — day 42, dose 1

2021-05-06

Symptoms: Aching deep n bones ...nothing OTC helps at all!!! I haven't taken my 2nd 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
SDBalance disorder ✓ ✓ ✓
SDBone pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDFeeling cold ✓ ✓ ✓
SDHyperhidrosis ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROHypopnoea ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site nodule ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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