5HS-74363-00363
4 vaccinations
9 coded responses
31 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 330 / FL
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
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2021-01-20
Dose 1 — Moderna
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Leg pain both legs before sleep. Theraworx took pain away within 10 minutes. Could have nothing to do with vaccine? Will see tonight. No part n during day yesterday and todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event, Unevaluable event — Feeling: GoodFree text: Fine-all goodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Pain in extremity — Feeling: Good · Muscle or body achesFree text: Left Leg muscle pain early in AM in bed. May have nothing to do with vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
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2021-02-05
Survey response — day 14, dose 1MedDRA: Pain in extremity — Feeling: FairFree text: Leg pain during nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
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2021-02-17
Dose 2 — Moderna
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2021-02-17
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Just received 2nd vaccine 15 minutes agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
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2021-03-24
Survey response — day 35, dose 2MedDRA: Muscle spasms, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Have had night leg cramps on and off. Have prior history of IBS-stomach diarrhea issue today. Perhaps IBS attack-not from Vaccine-I hopeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — day 42, dose 2MedDRA: Irritable bowel syndrome, Pre-existing disease — Feeling: FairFree text: IBS attackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
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2021-08-16
Dose 3 — Moderna
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2021-08-19
Survey response — 6 months, dose 2MedDRA: Injection site erythema, Myalgia — Feeling: FairFree text: Got the Moderna Booster shot on Monday.Arm all red where shot was given. Getting better today. Less redMuscle aches in legs during night and while exercising in pool todayMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-17
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2022-03-30
Dose 4 — Moderna
- 2022-04-17
- 2022-04-22
- 2022-04-29
- 2022-05-04
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2022-05-12
Survey response — day 42, dose 4MedDRA: Gastrointestinal disorder, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach issues Have had IBS for many years and had 2 stomach issues including this morning. Had a lot salad and quinoa with Chumas /pita last night that I don't usually eat. Thank Feeling better now.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-29
- 2022-09-28
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-08-16 | Moderna | No |
| 4 | 2022-03-30 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Leg pain both legs before sleep. Theraworx took pain away within 10 minutes. Could have nothing to do with vaccine? Will see tonight. No part n during day yesterday and today
Systemic reaction (other): Fine-all good
Systemic reaction (other): Left Leg muscle pain early in AM in bed. May have nothing to do with vaccine.
Release 3 — day 14, dose 1
Symptoms: Leg pain during night
Release 4 — day 0, dose 2
Systemic reaction (other): Just received 2nd vaccine 15 minutes ago
Release 6 — day 35, dose 2
Symptoms: Have had night leg cramps on and off. Have prior history of IBS-stomach diarrhea issue today. Perhaps IBS attack-not from Vaccine-I hope
Release 6 — day 42, dose 2
Symptoms: IBS attack
Release 9 — 6 months, dose 2
Symptoms: Got the Moderna Booster shot on Monday.Arm all red where shot was given. Getting better today. Less redMuscle aches in legs during night and while exercising in pool today
Release 11 — day 42, dose 4
Symptoms: Stomach issues Have had IBS for many years and had 2 stomach issues including this morning. Had a lot salad and quinoa with Chumas /pita last night that I don't usually eat. Thank Feeling better now.
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 | Gastrointestinal disorder | · | · | ✓ |
| SD | Injection site erythema | ✓ | · | ✓ |
| SD | Irritable bowel syndrome | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release