6WT-31007-27747
5 vaccinations
6 coded responses
67 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 852 / AZ
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
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2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
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2021-02-24
Survey response — day 14, dose 1MedDRA: Injection site discomfort, Injection site erythema, Injection site pruritus, Injection site rash, Self-medication — Feeling: GoodFree text: On day nine I developed a large red, itchy raised area over the site of the injection. Took Benadryl to relieve itch. Still some redness and mild discomfort today. Referred to CDC site for information and assurance that it was normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
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2021-03-11
Dose 2 — Moderna
- 2021-03-11
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2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
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2021-04-08
Survey response — day 28, dose 2MedDRA: Headache — Feeling: FairFree text: I have had several headaches which is unusual for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 35, dose 2MedDRA: Pain of skin — Feeling: GoodFree text: Skin pain/ tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
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2021-06-10
Survey response — 3 months, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sharp pain above the elbow in the arm that received the second vaccine. At times the pain travels down through my arm and outside fingers. No swelling, redness or heat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-09
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2021-10-25
Dose 3 — Moderna
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
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2022-01-24
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: Head cold symptoms of runny nose, sneezing low grade fever for 24 hours.symptoms lasted about nine days. Tested negative.MedDRA releases: 2024-11 · check-in free text available
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2022-04-05
Dose 4 — Moderna
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2022-04-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Diarrhea, Abdominal painAdult check-in
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2022-04-08
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal pain upper, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: Sharp twinge type pain in upper right quadrant. Relieved with Advil.MedDRA releases: 2024-11 · check-in free text available
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2022-04-09
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2022-04-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
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2022-04-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-04-12
- 2022-04-19
- 2022-04-28
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-07-05
- 2022-10-04
-
2022-11-01
Dose 5 — Moderna
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2022-11-02
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-11-03
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-11-04
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Abdominal painAdult check-in
-
2022-11-05
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-11-06
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2022-11-07
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2022-12-06
- 2022-12-13
- 2023-01-31
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
| 5 | 2022-11-01 | Moderna | No |
Free text
Release 4 — day 14, dose 1
Symptoms: On day nine I developed a large red, itchy raised area over the site of the injection. Took Benadryl to relieve itch. Still some redness and mild discomfort today. Referred to CDC site for information and assurance that it was normal.
Release 7 — day 28, dose 2
Symptoms: I have had several headaches which is unusual for me.
Release 7 — day 35, dose 2
Symptoms: Skin pain/ tenderness
Release 9 — 3 months, dose 2
Symptoms: Sharp pain above the elbow in the arm that received the second vaccine. At times the pain travels down through my arm and outside fingers. No swelling, redness or heat.
Release 11 — 3 months, dose 3
Symptoms: Head cold symptoms of runny nose, sneezing low grade fever for 24 hours.symptoms lasted about nine days. Tested negative.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Sharp twinge type pain in upper right quadrant. Relieved with Advil.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Injection site discomfort | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pain of skin | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release