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
-
2021-03-04
Registered in v-safe
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2021-03-04
Dose 1 — Moderna
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2021-03-04
Survey response — day 0, dose 1MedDRA: Dry mouth — Feeling: GoodFree text: Dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
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2021-03-27
Survey response — day 21, dose 1MedDRA: Fatigue, Hot flush, Rhinalgia, Swelling face — Feeling: Fair · Be unable to do your normal daily activitiesFree 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. ExhaustedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Dose 2 — Moderna
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2021-04-08
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Survey response — day 14, dose 2MedDRA: Arthralgia, Fatigue, Listless, Mobility decreased, Musculoskeletal stiffness, Oropharyngeal pain, Pain, Swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, stiff neck,aches all over my body, tiredness, listlessness, joint pain, swellings, cant lift my arms over my head easilyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 21, dose 2MedDRA: Acne, Insomnia, Limb discomfort — Feeling: Poor · Be unable to do your normal daily activitiesFree 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 legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — day 28, dose 2MedDRA: Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: FeverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — day 35, dose 2MedDRA: Dry mouth — Feeling: FairFree text: Dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Dry mouth
Release 6 — day 21, dose 1
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
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
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
Symptoms: Fever
Release 8 — day 35, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Acne | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Dry mouth | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Listless | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rhinalgia | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release