6JU-19942-06005
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 841 / UT
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-27
Registered in v-safe
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2021-01-27
Dose 1 — Moderna
- 2021-01-27
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling, Itching · Headache, DiarrheaAdult check-in
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2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Headache, NauseaAdult check-in
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2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
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2021-02-03
Survey response — day 7, dose 1MedDRA: Axillary pain, Injection site erythema, Injection site pain — Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessFree text: Ready and soreness on my arm at injection site. my arm pit hurts with no reasonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site nodule, Injection site rash, Injection site warmth, Oedema peripheral, Pruritus — Feeling: FairFree text: Extremely exhausted, my armpit glands got swollen for about 3 days and the injection site bubbled up and was hard and hot to the touch. Then I broke out in another rash on my arm and was itchy. The last 2 days have been better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — day 21, dose 1MedDRA: Fatigue, Injection site swelling, Pyrexia, Rash — Feeling: FairFree text: My arm broke out in another rash, then the injection site swelled again, this time, i got a fever and the next day i was exhausted but my arm went back to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Dose 2 — Moderna
- 2021-02-24
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · 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: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Renal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workFree text: Extreme kidney painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-03-05
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2021-03-11
Survey response — day 14, dose 2MedDRA: Diarrhoea — Feeling: Fair · Be unable to workFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Ready and soreness on my arm at injection site. my arm pit hurts with no reason
Release 4 — day 14, dose 1
Symptoms: Extremely exhausted, my armpit glands got swollen for about 3 days and the injection site bubbled up and was hard and hot to the touch. Then I broke out in another rash on my arm and was itchy. The last 2 days have been better.
Release 4 — day 21, dose 1
Symptoms: My arm broke out in another rash, then the injection site swelled again, this time, i got a fever and the next day i was exhausted but my arm went back to normal
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy
Systemic reaction (other): Extreme kidney pain
Release 5 — day 14, dose 2
Symptoms: Diarrhea
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site nodule | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Renal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release