DLX-27872-40055
2 vaccinations
6 coded responses
18 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 452 / OH
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Injection site joint pain — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activitiesFree text: Joint pain only on side I got injection. Traveled from knee to shoulder. Now subsiding.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-24
-
2021-01-31
Survey response — day 14, dose 1MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Dose 2 — Moderna
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2021-02-12
Survey response — day 0, dose 2MedDRA: Back pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shooting back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-28
- 2021-03-07
- 2021-03-14
-
2021-03-28
Survey response — day 42, dose 2MedDRA: Rash — Feeling: FairFree text: Rash on armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-13
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2022-02-12
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Injection site rash — Feeling: FairFree text: Have had weird rash around Injection site since first getting vaccine. Also had miscarriage of an Ivf genetically normal embryoMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-17 | priority 2/3 |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Joint pain only on side I got injection. Traveled from knee to shoulder. Now subsiding.
Release 3 — day 14, dose 1
Symptoms: Headache
Release 3 — day 21, dose 1
Symptoms: Fatigue
Release 4 — day 0, dose 2
Systemic reaction (other): Shooting back pain
Release 6 — day 42, dose 2
Symptoms: Rash on arm
Release 11 — 12 months, dose 2
Symptoms: Have had weird rash around Injection site since first getting vaccine. Also had miscarriage of an Ivf genetically normal embryo
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 | Abortion spontaneous | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site rash | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Injection site joint pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release