5ZJ-29838-44373
5 vaccinations
11 coded responses
60 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 173 / PA
- Registered
- 2021-05-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-05
Dose 1 — Moderna
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2021-05-13
Registered in v-safe
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2021-05-13
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-05-19
Survey response — day 14, dose 1MedDRA: Erythema, Immunisation reaction, Nausea, Pain in extremity, Rash — Feeling: GoodFree text: Covid arm rash, pain and redness. Slight nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
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2021-06-02
Survey response — day 28, dose 1MedDRA: Abdominal discomfort, Abdominal pain upper — Feeling: FairFree text: I experienced 10 days of extreme hunger pangs that continued even after I ate a meal. Also stomach discomfort in general. My 2nd Covid vaccine was extended per vaccine site and doctor due to my Euflexxa knee injections. I am to wait 2 weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
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2021-06-16
Dose 2 — Moderna
- 2021-06-16
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2021-06-17
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pain, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Teeth chattering chills. My body pain was immense. I am a Lyme sufferer and Fibromyalgia suffer and no stranger to pain. 7 hours after my vaccine the pain throughout my body was very very debilitating. I am used to pain but this was very bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Poor · Fever · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Extreme fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Nausea, Diarrhea, Abdominal painAdult check-in
- 2021-06-20
- 2021-06-21
- 2021-06-22
- 2021-06-23
- 2021-06-30
- 2021-07-07
- 2021-07-14
- 2021-07-21
- 2021-07-28
- 2021-09-15
- 2021-12-16
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2021-12-20
Dose 3 — Moderna
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2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: FairFree text: Sinuses.MedDRA releases: 2024-11 · check-in free text available
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2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: Cold symptomsMedDRA releases: 2024-11 · check-in free text available
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2021-12-24
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: ColdMedDRA releases: 2024-11 · check-in free text available
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2021-12-25
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: ColdMedDRA releases: 2024-11 · check-in free text available
- 2021-12-26
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2021-12-27
Survey response — day 7, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: Bad cold symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-01-31
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2022-03-21
Survey response — 3 months, dose 3MedDRA: Neuropathy peripheral, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Have developed bad neuropathy. I have chronic Lyme and Fibromyalgia. Probably from them. Hoping the injections didn't have anything to do with activating it with my other health issues. Last question I marked no but unsure.MedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Dose 4 — Moderna
- 2022-04-23
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2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-06-04
- 2022-07-24
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2022-09-15
Dose 5 — Moderna
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2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-18
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-12-15
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2023-03-16
Survey response — 6 months, dose 5MedDRA: Lymphoedema, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-16
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-05 | Moderna | |
| 2 | 2021-06-16 | Moderna | |
| 3 | 2021-12-20 | Moderna | No |
| 4 | 2022-04-23 | Moderna | No |
| 5 | 2022-09-15 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — day 14, dose 1
Symptoms: Covid arm rash, pain and redness. Slight nausea
Release 8 — day 28, dose 1
Symptoms: I experienced 10 days of extreme hunger pangs that continued even after I ate a meal. Also stomach discomfort in general. My 2nd Covid vaccine was extended per vaccine site and doctor due to my Euflexxa knee injections. I am to wait 2 weeks.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Teeth chattering chills. My body pain was immense. I am a Lyme sufferer and Fibromyalgia suffer and no stranger to pain. 7 hours after my vaccine the pain throughout my body was very very debilitating. I am used to pain but this was very bad.
Systemic reaction (other): Extreme fatigue.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sinuses.
Systemic reaction (other): Cold symptoms
Systemic reaction (other): Cold
Systemic reaction (other): Cold
Release 10 — day 7, dose 3
Systemic reaction (other): Bad cold symptoms
Release 11 — 3 months, dose 3
Symptoms: Have developed bad neuropathy. I have chronic Lyme and Fibromyalgia. Probably from them. Hoping the injections didn't have anything to do with activating it with my other health issues. Last question I marked no but unsure.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Lymphoedema | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release