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6VL-13574-84429

2 vaccinations 3 coded responses 4 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
058 / VT
Registered
2021-05-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Dose 1 — Moderna
  2. 2021-04-13
    Dose 2 — Moderna
  3. 2021-05-03
    Registered in v-safe
  4. 2021-05-03
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Facial pain, Facial paralysis, Fatigue, Headache, Injection site erythema, Injection site pain, Injection site rash, Myalgia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Vaccine 1 week 1: injection site painful arm, fatigue, 4 days later: headache, fever lasting 2 days, Week 2: injection site large bright red rash, muscle pain, paralyzing face pain lasting 2 days, muscle pain in hip, sharp knife joint pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-11
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Fatigue, Myalgia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Vaccine 1 Week 3: Continued joint pain and muscle aches. High fever appeared and fatigue Vaccine 1 Week 4 no change in joint pain or muscle ache. Continued fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-07-18
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Fatigue, Muscle tightness — Feeling: Good · Be unable to do your normal daily activities
    Free text: After 9 weeks of fatigue I started to feel like myself. However, my muscles that had tightened previously relapsed and I suffered from extreme tightness across the hips. Lots of pain.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-10-15
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-13Moderna

Free text

Release 8 — day 14, dose 2

2021-05-03

Symptoms: Vaccine 1 week 1: injection site painful arm, fatigue, 4 days later: headache, fever lasting 2 days, Week 2: injection site large bright red rash, muscle pain, paralyzing face pain lasting 2 days, muscle pain in hip, sharp knife joint pain

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Vaccine 1 Week 3: Continued joint pain and muscle aches. High fever appeared and fatigue Vaccine 1 Week 4 no change in joint pain or muscle ache. Continued fatigue

Release 9 — 3 months, dose 2

2021-07-18

Symptoms: After 9 weeks of fatigue I started to feel like myself. However, my muscles that had tightened previously relapsed and I suffered from extreme tightness across the hips. Lots of pain.

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
SDArthralgia ✓ ✓ ✓
SDFacial pain ✓ ✓ ✓
SDFacial paralysis ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDMuscle tightness · · ✓
SDMyalgia ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓

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