5UJ-10990-99324
5 vaccinations
4 coded responses
37 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 152 / PA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaFree text: My opposite arm not the one where shot was given is aching too. The arm where shot was given hurts much more than with the 1st shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body achesAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-01
- 2021-03-09
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
-
2021-11-03
Dose 3 — Moderna
- 2022-02-22
-
2022-03-30
Dose 4 — Moderna
-
2022-04-28
Survey response — day 28, dose 3MedDRA: Body temperature increased, Cough, Fatigue, Oropharyngeal pain, Pain in extremity, Rhinorrhoea — Feeling: GoodFree text: I felt tired the next day after getting the shot and my arm hurt. Also had a slight fever 99 degrees a day after. These were a month ago. Within the past two weeks have had a sore throat, runny nose and deep cough but no fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-11
- 2022-06-29
-
2022-09-14
Dose 5 — ModernaCo-administered: Flu
-
2022-09-20
Survey response — days 1–6 daily, dose 5MedDRA: Pain in extremity — Feeling: GoodFree text: Both arms did hurt two days after I got the shot but no pain now.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
- 2022-09-28
- 2022-10-05
- 2022-10-12
-
2022-10-19
Survey response — day 35, dose 5MedDRA: Back pain, Decreased appetite, Neck pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have had a fever of 101.7 for two of the last three days. Yesterday fever was gone during the day but came back in the evening. I took an in home covid test but it was negative. My back was hurting badly and so was my neck. I had no appetite.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-11-03 | Moderna | |
| 4 | 2022-03-30 | Moderna | No |
| 5 | 2022-09-14 | Moderna | Flu |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My opposite arm not the one where shot was given is aching too. The arm where shot was given hurts much more than with the 1st shot.
Release 11 — day 28, dose 3
Symptoms: I felt tired the next day after getting the shot and my arm hurt. Also had a slight fever 99 degrees a day after. These were a month ago. Within the past two weeks have had a sore throat, runny nose and deep cough but no fever.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Both arms did hurt two days after I got the shot but no pain now.
Release 12 — day 35, dose 5
Symptoms: I have had a fever of 101.7 for two of the last three days. Yesterday fever was gone during the day but came back in the evening. I took an in home covid test but it was negative. My back was hurting badly and so was my neck. I had no appetite.
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 | Back pain | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release