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6J8-25727-06970

2 vaccinations 4 coded responses 13 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
935 / CA
Registered
2021-04-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-23
    Registered in v-safe
  2. 2021-04-23
    Dose 1 — Moderna
  3. 2021-04-23
    Survey response — day 0, dose 1
    MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: numbness in my toes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-04-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Dizziness, Nervousness — Feeling: Poor · Fatigue or tiredness
    Free text: dizzyness, weakness in my body, shaky
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-04-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-04-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-21
    Dose 2 — Moderna
  11. 2021-05-21
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  12. 2021-05-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Insomnia, Pain in extremity, Tenderness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: I was unable to sleep last night, as I had extreme pain in my legs and back. I also had what I am assuming were fever dreams, most likely exacerbated by the pain in my legs. Also, I had extremely tender skin, my stomach, chest, back, and legs all hurt when anything brushed against them. I felt the sensitivity again today occasionally.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  14. 2021-05-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: dizzyness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  16. 2021-05-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-23Moderna
22021-05-21Moderna

Free text

Release 7 — day 0, dose 1

2021-04-23

Systemic reaction (other): numbness in my toes

Release 7 — days 1–6 daily, dose 1

2021-04-25

Systemic reaction (other): dizzyness, weakness in my body, shaky

Release 8 — days 1–6 daily, dose 2

2021-05-22

Systemic reaction (other): I was unable to sleep last night, as I had extreme pain in my legs and back. I also had what I am assuming were fever dreams, most likely exacerbated by the pain in my legs. Also, I had extremely tender skin, my stomach, chest, back, and legs all hurt when anything brushed against them. I felt the sensitivity again today occasionally.

2021-05-24

Systemic reaction (other): dizzyness

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
SROAsthenia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SRONervousness ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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