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5U9-19254-38817

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
271 / NC
Registered
2021-05-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-28
    Dose 1 — Moderna
  2. 2021-05-02
    Registered in v-safe
  3. 2021-05-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Erythema, Injection site pain, Malaise, Peripheral swelling, Sleep disorder — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to do your normal daily activities
    Free text: Not for today - its been 5 days since vaccination. I was very sick for 1 1/2 days after vaccination. Then couldnt sleep from severe pain at injection site. Arm redness & swelling getting worse.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Erythema, Pain in extremity, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Arm some better today but still hurts to touch it. Redness & swelling less. I wish I had checked Modernas side effects before taking it. Not sure about 2nd vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Headache, Abdominal pain · Be unable to do your normal daily activities
    Free text: I hope these symptoms arent vaccine. If so, will not get 2nd one!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-05
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-05-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-05-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-05-26
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-27
    Dose 2 — Moderna
  11. 2021-05-27
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Abdominal pain
    Adult check-in
  12. 2021-05-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Malaise — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Feeling terrible.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-05-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  15. 2021-05-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  16. 2021-06-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  17. 2021-06-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Headache, Muscle or body aches
    Adult check-in
  18. 2021-06-03
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Headache
    Adult check-in
  19. 2021-06-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-08
    Survey response — day 42, dose 2
    MedDRA: Dyspnoea — Feeling: Fair
    Free text: A coupke of days of some trouble getting a deep breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-09-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-05-29
    Survey response — 12 months, dose 2
    MedDRA: Cough, Discomfort, Head discomfort, Oropharyngeal pain, Paranasal sinus discomfort — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sinus pressure - head, face, teeth. Cough, sore throat.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-28Moderna
22021-05-27Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-02

Systemic reaction (other): Not for today - its been 5 days since vaccination. I was very sick for 1 1/2 days after vaccination. Then couldnt sleep from severe pain at injection site. Arm redness & swelling getting worse.

2021-05-03

Systemic reaction (other): Arm some better today but still hurts to touch it. Redness & swelling less. I wish I had checked Modernas side effects before taking it. Not sure about 2nd vaccination.

2021-05-04

Systemic reaction (other): I hope these symptoms arent vaccine. If so, will not get 2nd one!!

Release 8 — days 1–6 daily, dose 2

2021-05-28

Systemic reaction (other): Feeling terrible.

Release 9 — day 42, dose 2

2021-07-08

Symptoms: A coupke of days of some trouble getting a deep breath.

Release 11 — 12 months, dose 2

2022-05-29

Symptoms: Sinus pressure - head, face, teeth. Cough, sore throat.

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
SDCough · · ✓
SDDiscomfort · · ✓
SDDyspnoea ✓ ✓ ✓
SDHead discomfort · · ✓
SDOropharyngeal pain · · ✓
SDParanasal sinus discomfort · · ✓
SROErythema ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ○
SROInjection site pain ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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