5JV-14319-97468
4 vaccinations
6 coded responses
36 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 638 / MO
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold, Malaise — Feeling: Fair · Fever · Headache, Muscle or body achesFree text: Feel cold but no chills/ feel worse as day goes onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Bone pain, Sleep disorder — Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Unusual hard bone pain in legs that woke me up (never experienced)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-11
Survey response — day 14, dose 2MedDRA: Bone pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Episodic Bone pain, on 3/5 -unable to workBone pain/ N&V on evening of 3/10Bone pain seems to be in my long bones NOT jointsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — day 21, dose 2MedDRA: Bone pain, Cold sweat, Fatigue, Feeling cold, Headache, Heart rate irregular, Malaise, Nausea, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I am experiencing 2 days out of the week with long bone pain, extreme fatigue, headache, malaise, and nausea & vomiting. This week I experienced 2 noticeable episodes of irregular heart beats.Also feel cold while sweating (CKs BS-WNL.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
-
2021-04-01
Survey response — day 35, dose 2MedDRA: Body temperature fluctuation, Impaired work ability, Malaise, Metabolic disorder, Nausea, Vomiting — Feeling: Good · Be unable to workFree text: 1 day of extreme malaise, nausea with small amount of emesis, I have noticed metabolic changes with temperature extremes. I missed 1 day of work (Monday) due to the nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-08
Survey response — day 42, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Pain has changed from long bone to Joint pain! Otherwise feeling much betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
-
2021-08-24
Dose 3 — Moderna
- 2021-08-28
- 2021-11-23
- 2022-02-22
- 2022-08-27
-
2022-09-26
Dose 4 — Pfizer-BioNTech
- 2022-10-13
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-12-26
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-08-24 | Moderna | No |
| 4 | 2022-09-26 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Feel cold but no chills/ feel worse as day goes on
Systemic reaction (other): Unusual hard bone pain in legs that woke me up (never experienced)
Release 5 — day 14, dose 2
Symptoms: Episodic Bone pain, on 3/5 -unable to workBone pain/ N&V on evening of 3/10Bone pain seems to be in my long bones NOT joints
Release 5 — day 21, dose 2
Symptoms: I am experiencing 2 days out of the week with long bone pain, extreme fatigue, headache, malaise, and nausea & vomiting. This week I experienced 2 noticeable episodes of irregular heart beats.Also feel cold while sweating (CKs BS-WNL.)
Release 6 — day 35, dose 2
Symptoms: 1 day of extreme malaise, nausea with small amount of emesis, I have noticed metabolic changes with temperature extremes. I missed 1 day of work (Monday) due to the nausea
Release 7 — day 42, dose 2
Symptoms: Pain has changed from long bone to Joint pain! Otherwise feeling much better
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Body temperature fluctuation | ✓ | ✓ | ✓ |
| SD | Bone pain | ✓ | ✓ | ✓ |
| SD | Cold sweat | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling cold | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Metabolic disorder | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release