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
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2021-01-22
Dose 1 — Moderna
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2021-01-23
Registered in v-safe
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Fibromyalgia, Osteoarthritis, Pain, Pre-existing disease — Feeling: Good · Site: Pain · HeadacheFree text: Went on a 3 mile hike. Starting to feel a bit achy. 4:30 p.m. but could be my fibromyalgia and osteoarthritisMedDRA 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: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: But did go on a 3 mile hike yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Nausea, Vomiting, Diarrhea · Be unable to workAdult check-in
- 2021-01-26
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Good · Joint painsFree text: With weather being rainy and cold joint pain could be because of that. Osteoporosis arthritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
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2021-01-29
Survey response — day 7, dose 1MedDRA: Arthralgia, Arthritis, Musculoskeletal stiffness, Pain in extremity, Swelling — Feeling: Good · Joint pains · Be unable to do your normal daily activitiesFree 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 stiffnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — day 14, dose 1MedDRA: Abdominal pain, Diarrhoea, Nausea — Feeling: Poor · Be unable to workFree text: Pain in abdomen. Nausea and diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
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
Systemic reaction (other): But did go on a 3 mile hike yesterday
Systemic reaction (other): With weather being rainy and cold joint pain could be because of that. Osteoporosis arthritis
Release 3 — day 7, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Osteoarthritis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release