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69Y-12929-86997

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
231 / VA
Registered
2021-02-20
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Dose 1 — Moderna
  2. 2021-02-20
    Registered in v-safe
  3. 2021-02-20
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  4. 2021-02-25
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Fair
    Free text: I've been somewhat fatigued, a little bit more than normal. Today i started having major itching at my injection site. Also noticed some swelling at site and area around site is very hot. Today is the 1st time having any kind of reaction at site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-04
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-03-11
    Dose 2 — Moderna
  7. 2021-03-11
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Stuffy nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches
    Adult check-in
  11. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches
    Adult check-in
  12. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pruritus, Pruritus — Feeling: Fair · Site: Swelling, Itching · Joint pains
    Free text: The itching at the site is a "deep" itch around my entire upper right arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Joint pains
    Adult check-in
  14. 2021-03-18
    Survey response — day 7, dose 2
    MedDRA: Injection site pruritus — Feeling: Good · Site: Itching
    Free text: Still experiencing a "deep" itching sensation on my right arm near injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-01
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Headache, Pain in extremity — Feeling: Fair
    Free text: Major joint pain in my legs and thighs and a mild to moderate headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-11
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Myalgia — Feeling: Good
    Free text: Moderate muscle and joint pain on and off.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-15
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Muscle and joint pain has increased since last check in.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-11
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-11Moderna

Free text

Release 4 — day 14, dose 1

2021-02-25

Symptoms: I've been somewhat fatigued, a little bit more than normal. Today i started having major itching at my injection site. Also noticed some swelling at site and area around site is very hot. Today is the 1st time having any kind of reaction at site.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Stuffy nose

2021-03-16

Systemic reaction (other): The itching at the site is a "deep" itch around my entire upper right arm.

Release 5 — day 7, dose 2

2021-03-18

Systemic reaction (other): Still experiencing a "deep" itching sensation on my right arm near injection site.

Release 6 — day 21, dose 2

2021-04-01

Symptoms: Major joint pain in my legs and thighs and a mild to moderate headache.

Release 7 — day 28, dose 2

2021-04-11

Symptoms: Moderate muscle and joint pain on and off.

Release 7 — day 35, dose 2

2021-04-15

Symptoms: Muscle and joint pain has increased since last check in.

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROPruritus ✓ ✓ ○

✓ active code · ○ coded but marked inactive · blank = not in that release