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
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2021-03-25
Dose 1 — Moderna
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2021-03-26
Registered in v-safe
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2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema, Injection site nodule — Feeling: Good · Site: Pain, Redness · Fatigue or tirednessFree text: Like a knot n arm w red spot where injection wasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Hypopnoea — Feeling: Fair · Site: Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My breathing feels kinda shallowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Joint pains, Fatigue or tirednessFree text: No ty waiting for my 2ndMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Chills — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Chills kindaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — day 7, dose 1Feeling: Good · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-08
Survey response — day 14, dose 1MedDRA: Chills, Hyperhidrosis, Self-medication — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree 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
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2021-04-15
Survey response — day 21, dose 1MedDRA: Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree 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 99.4MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 28, dose 1MedDRA: Bone pain, Feeling cold — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold natured, aching deep n bones....i will not take a 2nd vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — day 35, dose 1MedDRA: Balance disorder, Bone pain, Chills, Malaise, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Aching bones, equilibrium off, feel like crap...i will not be getting a 2nd vaccine bc i had chills fever for a wkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — day 42, dose 1MedDRA: Bone pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Aching deep n bones ...nothing OTC helps at all!!! I haven't taken my 2nd shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Like a knot n arm w red spot where injection was
Systemic reaction (other): My breathing feels kinda shallow
Systemic reaction (other): No ty waiting for my 2nd
Systemic reaction (other): Chills kinda
Release 7 — day 14, dose 1
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
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
Symptoms: Cold natured, aching deep n bones....i will not take a 2nd vaccine
Release 8 — day 35, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Bone pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Feeling cold | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Hypopnoea | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site nodule | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release