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5T6-33155-65099

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
242 / VA
Registered
2021-01-26
Relationship
Self
Race
Multiracial
Ethnicity
N/A

Timeline

  1. 2021-01-26
    Registered in v-safe
  2. 2021-01-26
    Dose 1 — Moderna
  3. 2021-01-26
    Health check-in — day 0, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  6. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  9. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  10. 2021-02-09
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Fall, Pain, Pain in extremity — Feeling: Fair
    Free text: My arm hurts. Fell on it a few weeks ago in the snow and have been experiencing some minor pain with movement of hand and wrist that extends toward elbow. Most likely unrelated to vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-16
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Pain in extremity — Feeling: Fair
    Free text: Just wrist/arm pain unrelated to Covid19.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-23
    Survey response — day 28, dose 1
    MedDRA: Limb injury — Feeling: Fair
    Free text: Not related to Covid19; arm injury.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-02
    Survey response — day 35, dose 1
    MedDRA: Arthralgia, Fall, Pain in extremity — Feeling: Fair
    Free text: Wrist/arm pain due to a fall. Unrelated to covid19
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-04
    Dose 2 — Moderna
  15. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  16. 2021-03-20
    Survey response — day 14, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Not related to vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-25
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-04-10
    Survey response — day 35, dose 2
    MedDRA: Deafness unilateral, Dizziness, Dyspnoea, Feeling hot, Visual impairment — Feeling: Fair
    Free text: On Easter Sunday I experienced shortness of breathe, a moment of feeling hot (I shed my jacket and beanie) and I almost passed out but didn't (during this time I lost hearing in my right ear and my vision started to fade) It came back.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-15
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-06-03
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-09-05
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  22. 2022-03-06
    Survey response — 12 months, dose 2
    MedDRA: Gastrointestinal disorder, Headache, Night sweats — Feeling: Good · Be unable to work or attend school
    Free text: Gastrointestinal problems. Night sweats. Headache.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-03-04Moderna

Free text

Release 3 — day 14, dose 1

2021-02-09

Symptoms: My arm hurts. Fell on it a few weeks ago in the snow and have been experiencing some minor pain with movement of hand and wrist that extends toward elbow. Most likely unrelated to vaccine.

Release 4 — day 21, dose 1

2021-02-16

Symptoms: Just wrist/arm pain unrelated to Covid19.

Release 4 — day 28, dose 1

2021-02-23

Symptoms: Not related to Covid19; arm injury.

Release 4 — day 35, dose 1

2021-03-02

Symptoms: Wrist/arm pain due to a fall. Unrelated to covid19

Release 6 — day 14, dose 2

2021-03-20

Symptoms: Not related to vaccine.

Release 7 — day 35, dose 2

2021-04-10

Symptoms: On Easter Sunday I experienced shortness of breathe, a moment of feeling hot (I shed my jacket and beanie) and I almost passed out but didn't (during this time I lost hearing in my right ear and my vision started to fade) It came back.

Release 11 — 12 months, dose 2

2022-03-06

Symptoms: Gastrointestinal problems. Night sweats. Headache.

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 ✓ ✓ ✓
SDDeafness unilateral ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFall ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDGastrointestinal disorder · · ✓
SDHeadache · · ✓
SDLimb injury ✓ ✓ ✓
SDNight sweats · · ✓
SDPain ✓ · ✓
SDPain in extremity ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SDVisual impairment ✓ ✓ ✓

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