5Z6-16802-62846
2 vaccinations
7 coded responses
14 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 404 / KY
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-01
Dose 1 — Moderna
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2021-03-29
Registered in v-safe
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2021-03-29
Dose 2 — Moderna
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2021-03-29
Survey response — day 0, dose 2MedDRA: Hypoacusis — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Intermittenly hearing throbbing/swishing sound.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: No appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Tenderness — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: I still have one area of my body that hurts and even more so when its touched or I lay on it. Ive not mentioned it prior, as I dont think a vaccine could cause this. It was really bad the day after, but its persisted. I feel the pain is less, so im not too concerned about itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-05
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2021-04-14
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Arthralgia, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I've not felt well past 2 days. Fatigue, joints very sore, not up to doing things. My stomach hurts also.*(I can't see how any of this is vaccine related)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
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2021-05-03
Survey response — day 35, dose 2MedDRA: Arthralgia, Bone pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I continue to have most joints aching or hurting to varying degrees. Seems worse at night and/or mornings. Some days it feels as if my bones hurt/ache also, mostly it's the bones in my arms and legs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 42, dose 2MedDRA: Impaired healing, Office visit, Skin wound — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: A small skin wound and a scrach in skin isn't healing after 3 week period. · Healthcare visit (other): At Doctor's office.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-29
- 2021-09-27
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2022-04-01
Survey response — 12 months, dose 2MedDRA: Cardiospasm — Feeling: GoodFree text: Over past few months, I've had occasional heart cramps. They go away after several seconds. If this contunues, I'm setting an appt. with my PCP.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Intermittenly hearing throbbing/swishing sound.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): No appetite
Systemic reaction (other): I still have one area of my body that hurts and even more so when its touched or I lay on it. Ive not mentioned it prior, as I dont think a vaccine could cause this. It was really bad the day after, but its persisted. I feel the pain is less, so im not too concerned about it
Release 7 — day 14, dose 2
Symptoms: I've not felt well past 2 days. Fatigue, joints very sore, not up to doing things. My stomach hurts also.*(I can't see how any of this is vaccine related)
Release 8 — day 35, dose 2
Symptoms: I continue to have most joints aching or hurting to varying degrees. Seems worse at night and/or mornings. Some days it feels as if my bones hurt/ache also, mostly it's the bones in my arms and legs.
Release 8 — day 42, dose 2
Symptoms: A small skin wound and a scrach in skin isn't healing after 3 week period.
Healthcare visit (other): At Doctor's office.
Release 11 — 12 months, dose 2
Symptoms: Over past few months, I've had occasional heart cramps. They go away after several seconds. If this contunues, I'm setting an appt. with my PCP.
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Bone pain | ✓ | ✓ | ✓ |
| SD | Cardiospasm | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired healing | ✓ | ✓ | ✓ |
| SD | Skin wound | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Hypoacusis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release