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5J6-19693-57515

1 vaccination 5 coded responses 9 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
420 / KY
Registered
2021-01-23
Relationship
Self

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-01-23
    Registered in v-safe
  3. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fibromyalgia, Osteoarthritis, Pain, Pre-existing disease — Feeling: Good · Site: Pain · Headache
    Free text: Went on a 3 mile hike. Starting to feel a bit achy. 4:30 p.m. but could be my fibromyalgia and osteoarthritis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: But did go on a 3 mile hike yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Headache, Nausea, Vomiting, Diarrhea · Be unable to work
    Adult check-in
  6. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia — Feeling: Good · Joint pains
    Free text: With weather being rainy and cold joint pain could be because of that. Osteoporosis arthritis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-29
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Arthritis, Musculoskeletal stiffness, Pain in extremity, Swelling — Feeling: Good · Joint pains · Be unable to do your normal daily activities
    Free text: Arthritis Joint pain severe my right foot has been severe the pass 3 days. I received shot in my right arm. Energy good!Swelling stiffness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-05
    Survey response — day 14, dose 1
    MedDRA: Abdominal pain, Diarrhoea, Nausea — Feeling: Poor · Be unable to work
    Free text: Pain in abdomen. Nausea and diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Went on a 3 mile hike. Starting to feel a bit achy. 4:30 p.m. but could be my fibromyalgia and osteoarthritis

2021-01-24

Systemic reaction (other): But did go on a 3 mile hike yesterday

2021-01-27

Systemic reaction (other): With weather being rainy and cold joint pain could be because of that. Osteoporosis arthritis

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Arthritis Joint pain severe my right foot has been severe the pass 3 days. I received shot in my right arm. Energy good!Swelling stiffness

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Pain in abdomen. Nausea and diarrhea

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
SDAbdominal pain ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROArthritis ✓ ✓ ✓
SROFibromyalgia ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROOsteoarthritis ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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