5Q9-18189-34699
4 vaccinations
7 coded responses
10 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 936 / CA
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-26
Dose 1 — Moderna
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2021-03-27
Registered in v-safe
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Hyperhidrosis, Respiratory tract congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizzy, congestion, sweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Today there's less intensityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: It's better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Today's a good day, manageable.MedDRA 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 1Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activitiesAdult check-in
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Pre-existing disease — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activitiesFree text: I probably should not include the muscle aches and pains because I do have. Arthritis, and I do have FMS. I'm not having any pains from the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Dose 2 — Moderna
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2021-09-24
Survey response — 6 months, dose 1MedDRA: Alopecia, Balance disorder, Pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: My equilibrium has been getting steadily worse. My hair is still falling out in clumps. My body aches more than it ever did. But basically I'm healthy and even though I now have to use a walker since I had the virus July 2020 I'm doing okay.MedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Dose 3 — Moderna
- 2022-04-23
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2022-05-20
Dose 4 — Moderna
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2022-05-30
Survey response — day 7, dose 4MedDRA: Contusion, Headache, Influenza like illness, Mobility decreased, Pain, Pain in extremity, Pre-existing disease, Pyrexia — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Above symptoms are my usual. Vax #4, 5/20/22: after effects moderate 1st 4 days; headache, slight fever, body achs like mod case of flu, arm sore/useless 3 days then sore 2 more, still bruised (31st) but no pain. This vax was the easiest of the 4.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | No |
| 3 | 2021-12-10 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy, congestion, sweating
Systemic reaction (other): Today there's less intensity
Systemic reaction (other): It's better today.
Systemic reaction (other): Today's a good day, manageable.
Systemic reaction (other): I probably should not include the muscle aches and pains because I do have. Arthritis, and I do have FMS. I'm not having any pains from the shot.
Release 9 — 6 months, dose 1
Symptoms: My equilibrium has been getting steadily worse. My hair is still falling out in clumps. My body aches more than it ever did. But basically I'm healthy and even though I now have to use a walker since I had the virus July 2020 I'm doing okay.
Release 11 — day 7, dose 4
Systemic reaction (other): Above symptoms are my usual. Vax #4, 5/20/22: after effects moderate 1st 4 days; headache, slight fever, body achs like mod case of flu, arm sore/useless 3 days then sore 2 more, still bruised (31st) but no pain. This vax was the easiest of the 4.
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 | Alopecia | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release