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5SV-17842-95392

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
875 / NM
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling cold — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: I have been really cold, not chills
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I had muscle cramping beginning at 2 AM, it lasted about 6 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Survey response — day 14, dose 1
    MedDRA: Dry skin, Incision site rash, Injection site rash, Pre-existing disease, Rash, Rash pruritic, Skin warm, Surgery — Feeling: Good
    Free text: I developed a rash at the injection site (10 days after injection) that spread into a nearby (healed) surgical incision that runs down my arm. It was hot for the first 2 days, then rough and itchy. That is getting better now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-30
    Dose 2 — Moderna
  13. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast pain, Pain, Pain of skin, Thirst — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: My skin is sore everywhere, including my scalp. Very thirsty even though I've been hydrating since yesterday, shooting pains, sore breasts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry eye, Dry mouth — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Still have dry mouth and eyes, regardless of how much I hydrate.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-03-30
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-30Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): I have been really cold, not chills

2021-03-05

Systemic reaction (other): I had muscle cramping beginning at 2 AM, it lasted about 6 hours

Release 5 — day 14, dose 1

2021-03-17

Symptoms: I developed a rash at the injection site (10 days after injection) that spread into a nearby (healed) surgical incision that runs down my arm. It was hot for the first 2 days, then rough and itchy. That is getting better now.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): My skin is sore everywhere, including my scalp. Very thirsty even though I've been hydrating since yesterday, shooting pains, sore breasts

2021-04-01

Systemic reaction (other): Still have dry mouth and eyes, regardless of how much I hydrate.

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
SDDry skin ✓ ✓ ✓
SDIncision site rash ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDSkin warm ✓ ✓ ✓
SDSurgery ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SRODry eye ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain of skin ✓ ✓ ✓
SROThirst ✓ ✓ ✓

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