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5U9-14894-20737

4 vaccinations 4 coded responses 40 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
670 / KS
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Registered in v-safe
  2. 2021-01-06
    Dose 1 — Moderna
  3. 2021-01-06
    Survey response — day 0, dose 1
    MedDRA: Dizziness, Headache — Feeling: Good · Site: Pain
    Free text: Just very mild, little bit light headed and very mild headache that comes and goes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches
    Adult check-in
  5. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain, Pain in extremity, Pain in jaw — Feeling: Good
    Free text: Overall, a feel 98%. I had periodic piercing pains last night. Only a few of them. One in the arch of my foot and one near my tempo mandibular joint. They were intense but lasted about 30-60 seconds. I haven't really had anything like that before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-03
    Dose 2 — Moderna
  14. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Fairly intense random twingy pains throughout my body.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Right leg / hip (joint or muscle) is painful when weight shifting & moving. When it engages & hurts it's about 6/10
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  20. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-25
    Dose 3 — Moderna
  24. 2021-10-25
    Health check-in — day 0, dose 3
    Feeling: Good · Headache
    Adult check-in
  25. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  26. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches
    Adult check-in
  27. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches
    Adult check-in
  28. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  30. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-03
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-04-08
    Dose 4 — Moderna
  39. 2022-04-18
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  40. 2022-04-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-04-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-05-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  45. 2023-04-08
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-03Moderna
32021-10-25Moderna No
42022-04-08Moderna No

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): Just very mild, little bit light headed and very mild headache that comes and goes

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Overall, a feel 98%. I had periodic piercing pains last night. Only a few of them. One in the arch of my foot and one near my tempo mandibular joint. They were intense but lasted about 30-60 seconds. I haven't really had anything like that before.

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Fairly intense random twingy pains throughout my body.

2021-02-06

Systemic reaction (other): Right leg / hip (joint or muscle) is painful when weight shifting & moving. When it engages & hurts it's about 6/10

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
SROArthralgia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓

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

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