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
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2021-01-26
Registered in v-safe
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2021-01-26
Dose 1 — Moderna
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2021-01-26
Health check-in — day 0, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: 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 activitiesAdult check-in
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-01
- 2021-02-04
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2021-02-09
Survey response — day 14, dose 1MedDRA: Arthralgia, Fall, Pain, Pain in extremity — Feeling: FairFree 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
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2021-02-16
Survey response — day 21, dose 1MedDRA: Arthralgia, Pain in extremity — Feeling: FairFree text: Just wrist/arm pain unrelated to Covid19.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — day 28, dose 1MedDRA: Limb injury — Feeling: FairFree text: Not related to Covid19; arm injury.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 35, dose 1MedDRA: Arthralgia, Fall, Pain in extremity — Feeling: FairFree text: Wrist/arm pain due to a fall. Unrelated to covid19MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Dose 2 — Moderna
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-03-20
Survey response — day 14, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Not related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
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2021-04-10
Survey response — day 35, dose 2MedDRA: Deafness unilateral, Dizziness, Dyspnoea, Feeling hot, Visual impairment — Feeling: FairFree 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
- 2021-04-15
- 2021-06-03
- 2021-09-05
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2022-03-06
Survey response — 12 months, dose 2MedDRA: Gastrointestinal disorder, Headache, Night sweats — Feeling: Good · Be unable to work or attend schoolFree text: Gastrointestinal problems. Night sweats. Headache.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Free text
Release 3 — day 14, dose 1
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
Symptoms: Just wrist/arm pain unrelated to Covid19.
Release 4 — day 28, dose 1
Symptoms: Not related to Covid19; arm injury.
Release 4 — day 35, dose 1
Symptoms: Wrist/arm pain due to a fall. Unrelated to covid19
Release 6 — day 14, dose 2
Symptoms: Not related to vaccine.
Release 7 — day 35, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Deafness unilateral | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Limb injury | ✓ | ✓ | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release