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
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2021-02-11
Dose 1 — Moderna
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2021-02-20
Registered in v-safe
- 2021-02-20
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2021-02-25
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: FairFree 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
- 2021-03-04
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2021-03-11
Dose 2 — Moderna
- 2021-03-11
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body achesAdult check-in
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body achesAdult check-in
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus, Pruritus — Feeling: Fair · Site: Swelling, Itching · Joint painsFree 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
- 2021-03-17
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2021-03-18
Survey response — day 7, dose 2MedDRA: Injection site pruritus — Feeling: Good · Site: ItchingFree 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
- 2021-03-25
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2021-04-01
Survey response — day 21, dose 2MedDRA: Arthralgia, Headache, Pain in extremity — Feeling: FairFree 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
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2021-04-11
Survey response — day 28, dose 2MedDRA: Arthralgia, Myalgia — Feeling: GoodFree text: Moderate muscle and joint pain on and off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 35, dose 2MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Muscle and joint pain has increased since last check in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-06-13
- 2021-09-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Free text
Release 4 — day 14, dose 1
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
Systemic reaction (other): Stuffy nose
Systemic reaction (other): The itching at the site is a "deep" itch around my entire upper right arm.
Release 5 — day 7, dose 2
Systemic reaction (other): Still experiencing a "deep" itching sensation on my right arm near injection site.
Release 6 — day 21, dose 2
Symptoms: Major joint pain in my legs and thighs and a mild to moderate headache.
Release 7 — day 28, dose 2
Symptoms: Moderate muscle and joint pain on and off.
Release 7 — day 35, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release