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5PG-30545-85372

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
392 / MS
Registered
2021-01-14
Relationship
Self
Race
Black or African American
Ethnicity
N/A

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-01-14
    Registered in v-safe
  3. 2021-01-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-21
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair
    Free text: Left upper arm is swallowed and red near the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-28
    Survey response — day 21, dose 1
    MedDRA: Headache — Feeling: Fair
    Free text: Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-04
    Dose 2 — Moderna
  7. 2021-02-04
    Health check-in — day 0, dose 2
    Feeling: Fair · None
    Adult check-in
  8. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Somnolence — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Weakness, sleeping
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphonia, Dysphonia — Feeling: Fair · Site: Redness, Itching
    Free text: Lost my voice. Hoarseness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Headache
    Adult check-in
  11. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Headache
    Adult check-in
  12. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sinus disorder — Feeling: Good
    Free text: Sinus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-06
    Survey response — 3 months, dose 2
    MedDRA: Pain in extremity, Toothache — Feeling: Fair
    Free text: I have pain in my limbs. It feels like a toothache especially when I lay down. I am not sure it has anything to do with the vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  22. 2022-02-04
    Survey response — 12 months, dose 2
    MedDRA: Injection site pruritus, Pruritus — Feeling: Fair
    Free text: With the booster, I have experienced a tremendous amount of itching. At first it was around the area where I had the injection. While it stopped for maybe 3 weeks. It has started back and hasn't stopped.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-04Moderna

Free text

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Left upper arm is swallowed and red near the injection.

Release 2 — day 21, dose 1

2021-01-28

Symptoms: Headache

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Weakness, sleeping

2021-02-06

Systemic reaction (other): Lost my voice. Hoarseness

2021-02-09

Systemic reaction (other): Sinus

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: I have pain in my limbs. It feels like a toothache especially when I lay down. I am not sure it has anything to do with the vaccination.

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: With the booster, I have experienced a tremendous amount of itching. At first it was around the area where I had the injection. While it stopped for maybe 3 weeks. It has started back and hasn't stopped.

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
SDHeadache ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus · · ✓
SDInjection site swelling ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPruritus · · ✓
SDToothache · · ✓
SROAphonia ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SRODysphonia ✓ ✓ ✓
SROSinus disorder ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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