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5YH-89614-21159

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
230 / VA
Registered
2021-04-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-09
    Dose 1 — Moderna
  2. 2021-04-12
    Registered in v-safe
  3. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  5. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-25
    Survey response — day 14, dose 1
    MedDRA: Arthralgia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I dont know but 3 days ago started having some severe hip pain on the left. Its so bazaar. I have not fallen or anything and its painful. Dont know if its related. Just out of the blue. It feels like a hip fracture
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-07
    Dose 2 — Moderna
  11. 2021-05-07
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-05-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash, Rash pruritic — Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection site
    Free text: Full body rash !!itchy just like last time
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  15. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling, Itching · Headache
    Free text: Swollen lymph nodes same status
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Malaise, Rash pruritic — Feeling: Fair · Muscle or body aches, Nausea
    Free text: Im still itchy all over but the rash is gone. Feel ill, my body is fighting hard still and tomorrow is a week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-14
    Survey response — day 7, dose 2
    MedDRA: Pruritus — Feeling: Good · Site: Itching · Nausea
    Free text: Mild body itchy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-11
    Survey response — day 35, dose 2
    MedDRA: Lymph node pain, Myalgia, Neck pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: My neck is still sore like a sore muscle where I had swelling by the lymph node near neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-06
    Survey response — 3 months, dose 2
    MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Sore throat and congestion
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-05-07Moderna

Free text

Release 7 — day 14, dose 1

2021-04-25

Symptoms: I dont know but 3 days ago started having some severe hip pain on the left. Its so bazaar. I have not fallen or anything and its painful. Dont know if its related. Just out of the blue. It feels like a hip fracture

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Full body rash !!itchy just like last time

2021-05-12

Systemic reaction (other): Swollen lymph nodes same status

2021-05-13

Systemic reaction (other): Im still itchy all over but the rash is gone. Feel ill, my body is fighting hard still and tomorrow is a week

Release 8 — day 7, dose 2

2021-05-14

Systemic reaction (other): Mild body itchy

Release 9 — day 35, dose 2

2021-06-11

Symptoms: My neck is still sore like a sore muscle where I had swelling by the lymph node near neck

Release 9 — 3 months, dose 2

2021-08-06

Symptoms: Sore throat and congestion

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 ✓ ✓ ✓
SDLymph node pain ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDOropharyngeal pain ✓ · ✓
SDRespiratory tract congestion ✓ · ✓
SROLymphadenopathy ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓

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