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6CF-18214-88849

2 vaccinations 9 coded responses 11 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
535 / WI
Registered
2021-02-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Dose 1 — Moderna
  2. 2021-02-11
    Registered in v-safe
  3. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Chills
    Free text: No Just had a little tenderness where I got the shot. But I even have that with my flue shots.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Limb discomfort — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: Some aching and discomfort in the arm igot my shot in. I seem to be more tired than usual, been going to bed earlier.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Limb discomfort — Feeling: Good · Muscle or body aches
    Free text: Just a little discomfort in arm that got shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Limb discomfort — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Just a little mild discomfort in arm, nothing serious.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Just a little achy in arm that got shot and a little soreness now and the.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-18
    Survey response — day 7, dose 1
    MedDRA: Discomfort, Joint stiffness, Pain in extremity — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches
    Free text: Still a little joint pain in arm and stiff joint. Sometimes a little discomfort in underarm glands. That was only one day so far and not constant.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-06
    Dose 2 — Moderna
  12. 2021-03-06
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Head discomfort, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Not really stuffed head and sore arm which is normal to me the second day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Pain in extremity — Feeling: Good · Site: Pain · Chills, Muscle or body aches
    Free text: Some tiredness and a little pain in each arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-06Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): No Just had a little tenderness where I got the shot. But I even have that with my flue shots.

2021-02-12

Systemic reaction (other): Some aching and discomfort in the arm igot my shot in. I seem to be more tired than usual, been going to bed earlier.

2021-02-13

Systemic reaction (other): Just a little discomfort in arm that got shot.

2021-02-14

Systemic reaction (other): Just a little mild discomfort in arm, nothing serious.

2021-02-15

Systemic reaction (other): Just a little achy in arm that got shot and a little soreness now and the.

Release 4 — day 7, dose 1

2021-02-18

Systemic reaction (other): Still a little joint pain in arm and stiff joint. Sometimes a little discomfort in underarm glands. That was only one day so far and not constant.

Release 5 — day 0, dose 2

2021-03-06

Systemic reaction (other): None

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Not really stuffed head and sore arm which is normal to me the second day.

2021-03-09

Systemic reaction (other): Some tiredness and a little pain in each arm.

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
SRODiscomfort ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROJoint stiffness ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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