69T-28923-96737
3 vaccinations
6 coded responses
41 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 199 / DE
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
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2021-03-30
Dose 1 — Moderna
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2021-03-30
Health check-in — day 0, dose 1Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Contusion, Injection site pain — Feeling: GoodFree text: A little soreness at the injection site. Feels like a bad bruiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Musculoskeletal stiffness — Feeling: GoodFree text: Little stiffness & slight soreness at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
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2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
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2021-04-27
Dose 2 — Moderna
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2021-04-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
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2021-05-04
Survey response — day 7, dose 2MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Really bad joint pains in legs & back during the nite. Resting, seems to have curedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-07-27
- 2021-10-26
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2021-11-02
Dose 3 — Moderna
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2021-11-02
Health check-in — day 0, dose 3Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body achesFree text: Swelling under arm of injection arm. I believe it is in the lymph nodeMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Swelling in the Lymph node on injection armMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Muscle or body achesAdult check-in
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2022-02-01
- 2022-05-03
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2022-11-02
Survey response — 12 months, dose 3MedDRA: COVID-19, Nasopharyngitis, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: HAD COVID July 12 2022. Tested 2 x's & it was confirmed. symptoms were mild. Negative Test by 7/26/2022 Head cold. Tested for COVID on 10/27, & 10/28 Negative tests. Turns out I this time have a head cold. Started to think I had COVID again.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): A little soreness at the injection site. Feels like a bad bruise
Systemic reaction (other): Little stiffness & slight soreness at injection site
Release 8 — day 7, dose 2
Systemic reaction (other): Really bad joint pains in legs & back during the nite. Resting, seems to have cured
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling under arm of injection arm. I believe it is in the lymph node
Systemic reaction (other): Swelling in the Lymph node on injection arm
Release 12 — 12 months, dose 3
Symptoms: HAD COVID July 12 2022. Tested 2 x's & it was confirmed. symptoms were mild. Negative Test by 7/26/2022 Head cold. Tested for COVID on 10/27, & 10/28 Negative tests. Turns out I this time have a head cold. Started to think I had COVID again.
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 | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release