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5MP-21732-92290

1 vaccination 6 coded responses 11 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
658 / MO
Registered
2022-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-03-14
    Dose 1 — Moderna
  2. 2022-03-16
    Registered in v-safe
  3. 2022-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  4. 2022-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Heart rate increased — Feeling: Fair · Fatigue or tiredness, Nausea
    Free text: The first couple of days it seemed like my heart rate was high, but a little better today.
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Dry mouth — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Free text: Feeling some symptoms that are difficult to explain at this point. A few days ago I had a very dry mouth.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2022-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Photophobia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: My symptoms are very mild. Today I sensed me eyes were more sensitive than normal.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-03-21
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains, Nausea
    Adult check-in
  9. 2022-03-28
    Survey response — day 14, dose 1
    MedDRA: Headache, Loss of personal independence in daily activities, Malaise, Myalgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Muscle aches in the right leg. Today different allergy headaches than I've ever experienced before. This just caused me to be less productive in my daily activities. Not feeling well.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-04-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2022-04-14
    Survey response — day 28, dose 1
    MedDRA: Arthralgia, Feeling abnormal — Feeling: Good
    Free text: Pain and soreness in my right shoulder. It just seems things are not right in my body since getting the shot.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-18
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  13. 2022-04-25
    Survey response — day 42, dose 1
    MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: My allergies seem to be worse.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12022-03-14Moderna No

Free text

Release 11 — days 1–6 daily, dose 1

2022-03-17

Systemic reaction (other): The first couple of days it seemed like my heart rate was high, but a little better today.

2022-03-18

Systemic reaction (other): Feeling some symptoms that are difficult to explain at this point. A few days ago I had a very dry mouth.

2022-03-20

Systemic reaction (other): My symptoms are very mild. Today I sensed me eyes were more sensitive than normal.

Release 11 — day 14, dose 1

2022-03-28

Symptoms: Muscle aches in the right leg. Today different allergy headaches than I've ever experienced before. This just caused me to be less productive in my daily activities. Not feeling well.

Release 11 — day 28, dose 1

2022-04-14

Symptoms: Pain and soreness in my right shoulder. It just seems things are not right in my body since getting the shot.

Release 11 — day 42, dose 1

2022-04-25

Symptoms: My allergies seem to be worse.

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
SDArthralgia · · ✓
SDFeeling abnormal · · ✓
SDHeadache · · ✓
SDHypersensitivity · · ✓
SDLoss of personal independence in daily activities · · ✓
SDMalaise · · ✓
SDMyalgia · · ✓
SDPre-existing disease · · ✓
SROAdverse reaction · · ✓
SRODry mouth · · ✓
SROHeart rate increased · · ✓
SROPhotophobia · · ✓

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