6FN-33014-07504
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 440 / OH
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Moderna
-
2021-03-19
Registered in v-safe
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Sensitive skin — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: I have sensitive skin, Dxed with Subq lupus two years agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
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2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-23
Survey response — day 7, dose 1MedDRA: Fatigue, Headache, Malaise — Feeling: Good · Headache · Be unable to do your normal daily activitiesFree text: Since receiving the first vaccine , I have felt A sense of fatigue or malaise. I have had a few headaches which is very uncommon for me I usually have them very rarely.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-06
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2021-04-13
Dose 2 — Moderna
- 2021-04-13
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Joint painsAdult check-in
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Bone pain — Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activitiesFree text: I have felt bone, joint pain since 10 hours after I received my second shot. I have experienced joint pain intermittently since then. Getting a bit concernedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 7, dose 2MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint painsFree text: I have a feeling that the second shot somehow triggered joint pain symptoms related to the mild Lupus that Ive been Dxed withMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — day 14, dose 2MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue and joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
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2021-05-19
Survey response — day 35, dose 2MedDRA: Cough, Sleep deficit, Sleep disorder, Somnolence — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dry cough, starts at night- must be allergies but cannot stop unless I take a script Med for it. Lack of sleep causes droziness next day. Started about 5 days ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
- 2021-07-13
- 2021-10-13
- 2022-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have sensitive skin, Dxed with Subq lupus two years ago
Release 6 — day 7, dose 1
Systemic reaction (other): Since receiving the first vaccine , I have felt A sense of fatigue or malaise. I have had a few headaches which is very uncommon for me I usually have them very rarely.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have felt bone, joint pain since 10 hours after I received my second shot. I have experienced joint pain intermittently since then. Getting a bit concerned
Release 7 — day 7, dose 2
Systemic reaction (other): I have a feeling that the second shot somehow triggered joint pain symptoms related to the mild Lupus that Ive been Dxed with
Release 8 — day 14, dose 2
Symptoms: Fatigue and joint pain
Release 8 — day 35, dose 2
Symptoms: Dry cough, starts at night- must be allergies but cannot stop unless I take a script Med for it. Lack of sleep causes droziness next day. Started about 5 days ago.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Sleep deficit | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release