69K-28300-46052
3 vaccinations
4 coded responses
18 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 026 / MA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-03-04
Dose 2 — Moderna
-
2021-03-06
Registered in v-safe
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: ExhaustionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
-
2021-03-11
Survey response — day 7, dose 2MedDRA: Arthralgia, Chills, Fatigue — Feeling: GoodFree text: Had joint pains and chills, exhaustion on 3/5, day after 2nd vaccine which resolved about 36 hours later ...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-26
- 2021-04-01
- 2021-04-09
- 2021-04-15
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2021-06-03
Survey response — 3 months, dose 2MedDRA: Arthralgia, Back pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Joint pain , knee pain and back pain. But think this might arthritis and degeneration of spine as I am 76. But I read somewhere that joint pain could be a side effect so I thought I should mention it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-23
Dose 3 — Moderna
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: These happened the evening of 10/24 day after shot Same thing happened after second shot. About 8-10 hours not a big dealMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Exhaustion
Release 5 — day 7, dose 2
Systemic reaction (other): Had joint pains and chills, exhaustion on 3/5, day after 2nd vaccine which resolved about 36 hours later ...
Release 8 — 3 months, dose 2
Symptoms: Joint pain , knee pain and back pain. But think this might arthritis and degeneration of spine as I am 76. But I read somewhere that joint pain could be a side effect so I thought I should mention it.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): These happened the evening of 10/24 day after shot Same thing happened after second shot. About 8-10 hours not a big deal
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 | Back pain | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release