63K-15475-83371
5 vaccinations
10 coded responses
63 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 067 / CT
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FZ7-54119-24856
Adult relative or friend · Male · 2022-11-04
Timeline
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2021-02-25
Registered in v-safe
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2021-02-25
Dose 1 — Moderna
- 2021-02-25
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2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
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2021-03-26
Dose 2 — Moderna
- 2021-03-26
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tirednessFree text: Swelling decreasing at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Pain, SwellingFree text: Bumps on abdomen under skinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-02
Survey response — day 7, dose 2MedDRA: Injection site swelling — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Decreasing swelliing at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
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2021-09-24
Survey response — 6 months, dose 2MedDRA: Abdominal discomfort, Medical counselling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach distress issues,, most likely due to medications I'm taking. Spoke with my Doctors about this.MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Dose 3 — ModernaCo-administered: Flu
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2021-10-29
Survey response — day 0, dose 3MedDRA: Arthralgia, Fatigue, Pain, Pain in extremity, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Lower extremity and joint pain and fatique - chronic issues, worse on some days. Today worse, weather cold and rawMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Size of swelling in arm from Moderna shot 5cm diameterMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint painsAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Lower extremities achyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
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2022-04-09
Dose 4 — Moderna
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2022-04-19
Survey response — day 7, dose 4MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal painFree text: above Sx lasted several days after shot #4MedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-07-09
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2022-10-08
Survey response — 6 months, dose 4MedDRA: Cough, Nasal congestion — Feeling: GoodFree text: nasal congestion and coughMedDRA releases: 2024-11 · check-in free text available
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2022-11-04
Dose 5 — ModernaCo-administered: Flu
- 2022-11-04
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2022-11-05
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-11-06
Survey response — days 1–6 daily, dose 5MedDRA: Muscle twitching — Feeling: Good · Site: Pain, SwellingFree text: both hands and fingers twitching on 11/05/22 - none todayMedDRA releases: 2024-11 · check-in free text available
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2022-11-07
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2022-11-08
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2022-11-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-11-10
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Nausea, Vomiting, Diarrhea, Abdominal painAdult check-in
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2023-02-03
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-10-29 | Moderna | Flu |
| 4 | 2022-04-09 | Moderna | No |
| 5 | 2022-11-04 | Moderna | Flu |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling decreasing at injection site
Systemic reaction (other): Bumps on abdomen under skin
Release 6 — day 7, dose 2
Systemic reaction (other): Decreasing swelliing at injection site
Release 9 — 6 months, dose 2
Symptoms: Stomach distress issues,, most likely due to medications I'm taking. Spoke with my Doctors about this.
Release 10 — day 0, dose 3
Systemic reaction (other): Lower extremity and joint pain and fatique - chronic issues, worse on some days. Today worse, weather cold and raw
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Size of swelling in arm from Moderna shot 5cm diameter
Systemic reaction (other): Lower extremities achy
Release 11 — day 7, dose 4
Systemic reaction (other): above Sx lasted several days after shot #4
Release 12 — 6 months, dose 4
Symptoms: nasal congestion and cough
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): both hands and fingers twitching on 11/05/22 - none today
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 | Cough | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release