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5H5-11663-17638

2 vaccinations 2 coded responses 11 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
476 / IN
Registered
2020-12-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-24
    Dose 1 — Moderna
  2. 2020-12-31
    Registered in v-safe
  3. 2020-12-31
    Survey response — day 7, dose 1
    MedDRA: Headache, Vaccination site pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea
    Free text: Vaccination site right arm was very painful about 8 hrs after vaccination and for the next 3-4 days. Severe posterior headache started the day after vaccination and was severe for 3-4 days and has remained in a milder form since then. Now 1 week out from getting Moderna vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-01-21
    Dose 2 — Moderna
  7. 2021-01-28
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  8. 2021-02-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-02-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-02-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-07-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2022-01-21
    Survey response — 12 months, dose 2
    MedDRA: Arthralgia, Back pain, Headache, Myalgia, Nausea, Neck pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school
    Free text: Runny nose 3 mornings in a row. Headache, Neck pain, pain across shoulders, back pain and left hip pain for 5 days. Husband tested positive for COVID 6 days ago. My test was negative, but had low grade fever, headache, muscle aches & nausea
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-24Moderna
22021-01-21Moderna

Free text

Release 1 — day 7, dose 1

2020-12-31

Systemic reaction (other): Vaccination site right arm was very painful about 8 hrs after vaccination and for the next 3-4 days. Severe posterior headache started the day after vaccination and was severe for 3-4 days and has remained in a milder form since then. Now 1 week out from getting Moderna vaccination

Release 11 — 12 months, dose 2

2022-01-21

Symptoms: Runny nose 3 mornings in a row. Headache, Neck pain, pain across shoulders, back pain and left hip pain for 5 days. Husband tested positive for COVID 6 days ago. My test was negative, but had low grade fever, headache, muscle aches & nausea

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
SDArthralgia · · ✓
SDBack pain · · ✓
SDHeadache · · ✓
SDMyalgia · · ✓
SDNausea · · ✓
SDNeck pain · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SROHeadache ✓ ✓ ✓
SROVaccination site pain ✓ ✓ ✓

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