6D3-10105-55213
2 vaccinations
7 coded responses
21 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 760 / TX
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-17
Dose 1 — Moderna
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2021-03-22
Registered in v-safe
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2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Headache, Joint pains, Fatigue or tiredness · Be unable to workFree text: Above are R/T longstanding RA not from shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 7, dose 1MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tiredness, Nausea · Be unable to workFree text: Most likely R/T RA not shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
- 2021-04-16
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2021-04-20
Dose 2 — Moderna
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Injection site nodule, Injection site pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Hard knot at site of injection area around knot painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling · HeadacheFree text: Other than usual RA symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · NoneAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-05-04
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2021-05-11
Survey response — day 21, dose 2MedDRA: Injection site bruising, Injection site discolouration — Feeling: GoodFree text: Around the injection site late last week I noticed a brown discoloration like a light bruise in color went fully around the injection site. No pain noted. Had not been there 8 hours or less previous and resolved within 24 hrs area remains scabbedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — day 28, dose 2MedDRA: Arthralgia, Myalgia, Neck pain, Pain — Feeling: GoodFree text: Lingering muscle type pain in arm (Left) that recieved vaccine in. At times radiates up into shoulder & neck. Has come & gone since injection. Pain is aching throbbing from a 2 to 5 on standard 1-10 pain scaleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Survey response — day 35, dose 2MedDRA: Injection site bruising — Feeling: FairFree text: Sudden non-painful bruising not at or near injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-01
- 2021-07-20
- 2021-10-19
- 2022-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Above are R/T longstanding RA not from shot
Release 6 — day 7, dose 1
Systemic reaction (other): Most likely R/T RA not shot
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Hard knot at site of injection area around knot painful
Systemic reaction (other): Other than usual RA symptoms
Release 8 — day 21, dose 2
Symptoms: Around the injection site late last week I noticed a brown discoloration like a light bruise in color went fully around the injection site. No pain noted. Had not been there 8 hours or less previous and resolved within 24 hrs area remains scabbed
Release 8 — day 28, dose 2
Symptoms: Lingering muscle type pain in arm (Left) that recieved vaccine in. At times radiates up into shoulder & neck. Has come & gone since injection. Pain is aching throbbing from a 2 to 5 on standard 1-10 pain scale
Release 8 — day 35, dose 2
Symptoms: Sudden non-painful bruising not at or near injection site.
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 | Injection site bruising | ✓ | ✓ | ✓ |
| SD | Injection site discolouration | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Injection site nodule | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release