5KY-33868-35507
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-10
Registered in v-safe
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2021-03-10
Survey response — day 7, dose 1MedDRA: Breast pain — Feeling: Fair · Site: Redness, Swelling · Fatigue or tirednessFree text: Pain in right breast near nipple area on 6th and 7thMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — day 14, dose 1MedDRA: Breast pain — Feeling: GoodFree text: Yesterday on 3/14 I had sharp pains on the outside of my left breast near the nipple area. A few days prior I had the same pain but in the outside right breast near my nipple.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
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2021-03-29
Dose 2 — Moderna
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Left hip and lower back aching like flu symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint painsAdult check-in
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Diarrhea, Rash, not including the immediate area around the injection siteFree text: Itching and redness around chest, neck, and upper back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · HeadacheAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-27
- 2021-05-03
- 2021-05-10
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2021-07-02
Survey response — 3 months, dose 2MedDRA: Muscular weakness, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have developed sore weak muscles in my arms. The symptoms started more than a month ago. I thought it was related to a statin I take for cholesterol, but symptoms have not improved since I quit taking the medication.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-27
- 2022-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Pain in right breast near nipple area on 6th and 7th
Release 5 — day 14, dose 1
Symptoms: Yesterday on 3/14 I had sharp pains on the outside of my left breast near the nipple area. A few days prior I had the same pain but in the outside right breast near my nipple.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Left hip and lower back aching like flu symptoms
Systemic reaction (other): Itching and redness around chest, neck, and upper back.
Release 9 — 3 months, dose 2
Symptoms: I have developed sore weak muscles in my arms. The symptoms started more than a month ago. I thought it was related to a statin I take for cholesterol, but symptoms have not improved since I quit taking the medication.
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 | Breast pain | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release