64J-37382-69317
2 vaccinations
7 coded responses
17 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 014 / MA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-29
Dose 1 — Moderna
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2021-03-30
Registered in v-safe
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2021-04-06
Survey response — day 7, dose 1MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Ringing in earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 14, dose 1MedDRA: Fatigue, Rash, Rash erythematous, Rash papular — Feeling: GoodFree text: Rash on arm got redder, more raised, larger in area and itchier. Im still tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2021-04-26
Dose 2 — Moderna
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2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper — Feeling: Fair · Site: Itching · Fever · Headache, DiarrheaFree text: Stomach acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Headache, Fatigue or tirednessFree text: Low temperature 93.3°MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-19
- 2021-05-25
- 2021-05-31
- 2021-06-07
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2021-07-28
Survey response — 3 months, dose 2MedDRA: Cough, Fatigue, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cough, runny nose, tirednessMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-25
Survey response — 6 months, dose 2MedDRA: Pain in extremity, Peripheral swelling, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had severe swelling and pain in my feet and lower legs. After Advil and elevating my legs only left calf remained swollen and sore for two more days.MedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Survey response — 12 months, dose 2MedDRA: Arthralgia, Headache, Mobility decreased, Pain in extremity, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Got booster and was bedridden for two days with fever and joint pains and headache. Headache continued for two more days. Arm was sore for five days.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Ringing in ears
Release 7 — day 14, dose 1
Symptoms: Rash on arm got redder, more raised, larger in area and itchier. Im still tired.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Stomach ache
Release 8 — day 7, dose 2
Systemic reaction (other): Low temperature 93.3°
Release 9 — 3 months, dose 2
Symptoms: Cough, runny nose, tiredness
Release 10 — 6 months, dose 2
Symptoms: Had severe swelling and pain in my feet and lower legs. After Advil and elevating my legs only left calf remained swollen and sore for two more days.
Release 11 — 12 months, dose 2
Symptoms: Got booster and was bedridden for two days with fever and joint pains and headache. Headache continued for two more days. Arm was sore for five days.
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 | Arthralgia | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release