5FA-33738-61130
2 vaccinations
5 coded responses
20 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 381 / TN
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: (note - I had the same symptoms yesterday, but did not report because I did not know it was possible - to say mild. It appeared the assessment/repor required all or nothing reports, which could be expected to reduce the symptom report from others as well as me. Also 2- the questionnaire require that I had to make a false report to be able to move on in the questionnaire. What I said NONE to the SECOND set of symptomsit would let me move on - because it said that I can not say none and report symptoms- though one of the second set of symptoms were true- but only something in the FIRST set if snot is was true. So I chose muscle ache - because the s he of the shit was by/in a muscle. I guess because I reported this additional important information (I thought of #1 comment here- it would not let me move on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-17
- 2021-01-19
-
2021-01-26
Survey response — day 14, dose 1MedDRA: Rash — Feeling: GoodFree text: A bit worse rash than the last time/s reported. May have been irritated also with socks -but I have worn those same socks daily for years & it never happen before. Also had rash a couple/few days after shot, that was a couple inches away. Mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — day 21, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Realized still pain at the shot site.May not be worse now- but had occasion to notice in a way that had not arisen in recent weeks- was leaning against a wall and I realized with that pressure it did hurt at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
-
2021-02-13
Dose 2 — Moderna
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Hypersomnia, Malaise, Pain, Pruritus, Swelling — Feeling: Good · Site: Pain, Swelling, Itching · Be unable to do your normal daily activitiesFree text: The two days after the shot-(though not today which is 3 days after)-fatigue-sleeping most of the day after, headache, generally feeling bad/sick. By today these symptoms are gone- except still today...(as noted) pain, itching and swelling (though less than the first day at the shot site- the tiredness - severe. I probably would NOT have been able to work -thus severe - from fatigue & generally feeling sick the day after the shot - but since it was a Sunday I was already taking the day off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-08-15
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2022-02-13
Survey response — 12 months, dose 2MedDRA: Acupuncture, Office visit, Paranasal sinus hypersecretion, Sciatica, Sinonasal obstruction — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Not related to covid (obviously) I think, but to be thorough: sciatica, and sinus drainage/blockage, typical for me if this time of year. (because obviously your reports will be skewed &/ or minimized if/when patients decide what's relevant.) · Healthcare visit (other): accupuncture- sciatica - (Dr. (b)(6))MedDRA releases: 2024-11 · check-in free text available
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2022-02-13
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-13 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): (note - I had the same symptoms yesterday, but did not report because I did not know it was possible - to say mild. It appeared the assessment/repor required all or nothing reports, which could be expected to reduce the symptom report from others as well as me. Also 2- the questionnaire require that I had to make a false report to be able to move on in the questionnaire. What I said NONE to the SECOND set of symptomsit would let me move on - because it said that I can not say none and report symptoms- though one of the second set of symptoms were true- but only something in the FIRST set if snot is was true. So I chose muscle ache - because the s he of the shit was by/in a muscle. I guess because I reported this additional important information (I thought of #1 comment here- it would not let me move on.
Release 2 — day 14, dose 1
Symptoms: A bit worse rash than the last time/s reported. May have been irritated also with socks -but I have worn those same socks daily for years & it never happen before. Also had rash a couple/few days after shot, that was a couple inches away. Mild.
Release 3 — day 21, dose 1
Symptoms: Realized still pain at the shot site.May not be worse now- but had occasion to notice in a way that had not arisen in recent weeks- was leaning against a wall and I realized with that pressure it did hurt at the injection site.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The two days after the shot-(though not today which is 3 days after)-fatigue-sleeping most of the day after, headache, generally feeling bad/sick. By today these symptoms are gone- except still today...(as noted) pain, itching and swelling (though less than the first day at the shot site- the tiredness - severe. I probably would NOT have been able to work -thus severe - from fatigue & generally feeling sick the day after the shot - but since it was a Sunday I was already taking the day off.
Release 11 — 12 months, dose 2
Symptoms: Not related to covid (obviously) I think, but to be thorough: sciatica, and sinus drainage/blockage, typical for me if this time of year. (because obviously your reports will be skewed &/ or minimized if/when patients decide what's relevant.)
Healthcare visit (other): accupuncture- sciatica - (Dr. (b)(6))
redacted (b)(6)
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 |
|---|---|---|---|---|
| HCVO | Acupuncture | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Sciatica | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Sciatica | · | · | ✓ |
| SD | Sinonasal obstruction | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release