5KT-35290-93265
5 vaccinations
3 coded responses
65 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 305 / GA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
- 2021-02-10
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-21
- 2021-02-22
-
2021-03-01
Survey response — day 14, dose 2MedDRA: Injection site rash, Loss of personal independence in daily activities, Muscular weakness — Feeling: GoodFree text: In the past week I have had a rash on my arm at injection site and a slight feeling of weakness in that arm. This does prevent me from doing anything just aware of it. No bruising, fever, chills, etc. May be unrelated but don't remember injuring it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-15
-
2021-03-22
Survey response — day 35, dose 2MedDRA: Muscular weakness — Feeling: GoodFree text: Right arm where i received vaccination has some muscle weekness. Not at injection site. Muscle weekness in raising arm up to horizontal. May not be related to vaccination, may have dtrained it, but its been persistent.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — day 42, dose 2MedDRA: Pain in extremity, Tendonitis — Feeling: GoodFree text: Still have upper arm pain. Seems skme sort of tendonitis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-08-16
-
2021-10-30
Dose 3 — Moderna
- 2021-10-30
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2022-01-30
- 2022-04-30
-
2022-07-27
Dose 4 — Moderna
-
2022-07-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-02
- 2022-08-03
- 2022-08-11
- 2022-08-18
- 2022-08-24
- 2022-08-31
- 2022-09-07
-
2022-10-26
Dose 5 — ModernaCo-administered: Flu
- 2022-10-26
- 2022-10-26
-
2022-10-27
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fever · Muscle or body achesAdult check-in
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-09
- 2022-11-17
- 2022-11-23
- 2022-11-30
- 2022-12-07
- 2023-01-25
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-07-27 | Moderna | No |
| 5 | 2022-10-26 | Moderna | Flu |
Free text
Release 4 — day 14, dose 2
Symptoms: In the past week I have had a rash on my arm at injection site and a slight feeling of weakness in that arm. This does prevent me from doing anything just aware of it. No bruising, fever, chills, etc. May be unrelated but don't remember injuring it. cut off by CDC
Release 6 — day 35, dose 2
Symptoms: Right arm where i received vaccination has some muscle weekness. Not at injection site. Muscle weekness in raising arm up to horizontal. May not be related to vaccination, may have dtrained it, but its been persistent.
Release 6 — day 42, dose 2
Symptoms: Still have upper arm pain. Seems skme sort of tendonitis.
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 | Injection site rash | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Tendonitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release