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
-
2021-01-07
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
- 2021-01-14
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling — Feeling: FairFree text: Left upper arm is swallowed and red near the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — day 21, dose 1MedDRA: Headache — Feeling: FairFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Weakness, sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Aphonia, Dysphonia — Feeling: Fair · Site: Redness, ItchingFree text: Lost my voice. HoarsenessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Sinus disorder — Feeling: GoodFree text: SinusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-27
- 2021-03-04
- 2021-03-11
- 2021-03-18
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2021-05-06
Survey response — 3 months, dose 2MedDRA: Pain in extremity, Toothache — Feeling: FairFree 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
- 2021-08-05
-
2022-02-04
Survey response — 12 months, dose 2MedDRA: Injection site pruritus, Pruritus — Feeling: FairFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Free text
Release 2 — day 14, dose 1
Symptoms: Left upper arm is swallowed and red near the injection.
Release 2 — day 21, dose 1
Symptoms: Headache
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Weakness, sleeping
Systemic reaction (other): Lost my voice. Hoarseness
Systemic reaction (other): Sinus
Release 8 — 3 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Toothache | · | · | ✓ |
| SRO | Aphonia | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Dysphonia | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release