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634-14465-10718

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
720 / AR
Registered
2021-03-04
Relationship
Self
Race
Black or African American
Ethnicity
N/A

Timeline

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Survey response — day 0, dose 1
    MedDRA: Dry mouth — Feeling: Good
    Free text: Dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  8. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-27
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Hot flush, Rhinalgia, Swelling face — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Ive had zits that wont go away my face swoll and when ii went down another woyld pop up. Now the inside of mt nose is getting sore. Im also having hot flashes. Exhausted
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-01
    Dose 2 — Moderna
  14. 2021-04-08
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-19
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Fatigue, Listless, Mobility decreased, Musculoskeletal stiffness, Oropharyngeal pain, Pain, Swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sore throat, stiff neck,aches all over my body, tiredness, listlessness, joint pain, swellings, cant lift my arms over my head easily
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-22
    Survey response — day 21, dose 2
    MedDRA: Acne, Insomnia, Limb discomfort — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Zits beside my lips. Put an antibiotic on left side it moved to the right corner. Can't sleep, thighs feel to heavy to lift my legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-29
    Survey response — day 28, dose 2
    MedDRA: Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-08
    Survey response — day 35, dose 2
    MedDRA: Dry mouth — Feeling: Fair
    Free text: Dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-13
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): Dry mouth

Release 6 — day 21, dose 1

2021-03-27

Symptoms: Ive had zits that wont go away my face swoll and when ii went down another woyld pop up. Now the inside of mt nose is getting sore. Im also having hot flashes. Exhausted

Release 7 — day 14, dose 2

2021-04-19

Symptoms: Sore throat, stiff neck,aches all over my body, tiredness, listlessness, joint pain, swellings, cant lift my arms over my head easily

Release 7 — day 21, dose 2

2021-04-22

Symptoms: Zits beside my lips. Put an antibiotic on left side it moved to the right corner. Can't sleep, thighs feel to heavy to lift my legs

Release 8 — day 28, dose 2

2021-04-29

Symptoms: Fever

Release 8 — day 35, dose 2

2021-05-08

Symptoms: Dry mouth

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
SDAcne ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDDry mouth ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHot flush ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDLimb discomfort ✓ ✓ ✓
SDListless ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRhinalgia ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SDSwelling face ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓

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