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DRM-10446-36598

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
147 / NY
Registered
2021-07-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-28
    Registered in v-safe
  2. 2021-07-28
    Dose 1 — Moderna
  3. 2021-07-28
    Survey response — day 0, dose 1
    MedDRA: Arthralgia, Burning sensation, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea
    Free text: Joint pain in hip and a weird burning feeling in my lower left leg.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-07-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-07-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  6. 2021-07-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Throat irritation — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Slight scratchy throat.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Slight muscle pain around injection site
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-08-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  9. 2021-08-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-08-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-08-11
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-08-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-08-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-08-29
    Dose 2 — Moderna
  15. 2021-09-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  16. 2021-09-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair · Headache
    Free text: Slight sore throat
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-09-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair · Headache
    Free text: Slight sore throat
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-09-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  19. 2021-09-05
    Survey response — day 7, dose 2
    MedDRA: Toothache — Feeling: Good
    Free text: Tooth ache
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-09-12
    Survey response — day 14, dose 2
    MedDRA: Exposure to SARS-CoV-2 — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Covid is in my house
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-09-19
    Survey response — day 21, dose 2
    MedDRA: Oral discomfort, Tooth infection — Feeling: Fair
    Free text: Tooth infection and burning mouth. Dentist appointment tomorrow.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-09-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-03
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-10-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-28
    Survey response — 3 months, dose 2
    MedDRA: Abortion spontaneous, Cough, Headache, Malaise, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headaches, had a miscarriage and I'm pretty positive ive had Covid after my vaccine even though the test was negative. I'm constantly getting sick now and o have random coughing fits. Not sure if it's from Covid or the vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-02-27
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2022-08-29
    Survey response — 12 months, dose 2
    MedDRA: Fatigue, Rash — Feeling: Good
    Free text: Skin outbreaks and feeling tired
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-07-28Moderna No
22021-08-29Moderna No

Free text

Release 9 — day 0, dose 1

2021-07-28

Systemic reaction (other): Joint pain in hip and a weird burning feeling in my lower left leg.

Release 9 — days 1–6 daily, dose 1

2021-07-31

Systemic reaction (other): Slight scratchy throat.

2021-08-01

Systemic reaction (other): Slight muscle pain around injection site

Release 9 — days 1–6 daily, dose 2

2021-09-02

Systemic reaction (other): Slight sore throat

2021-09-03

Systemic reaction (other): Slight sore throat

Release 9 — day 7, dose 2

2021-09-05

Systemic reaction (other): Tooth ache

Release 9 — day 14, dose 2

2021-09-12

Symptoms: Covid is in my house

Release 9 — day 21, dose 2

2021-09-19

Symptoms: Tooth infection and burning mouth. Dentist appointment tomorrow.

Release 10 — 3 months, dose 2

2021-11-28

Symptoms: Headaches, had a miscarriage and I'm pretty positive ive had Covid after my vaccine even though the test was negative. I'm constantly getting sick now and o have random coughing fits. Not sure if it's from Covid or the vaccine.

Release 12 — 12 months, dose 2

2022-08-29

Symptoms: Skin outbreaks and feeling tired

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
SDAbortion spontaneous · · ✓
SDCough · · ✓
SDExposure to SARS-CoV-2 · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDMalaise · · ✓
SDOral discomfort · · ✓
SDRash · · ✓
SDSARS-CoV-2 test negative · · ✓
SDTooth infection · · ✓
SROArthralgia ✓ · ✓
SROBurning sensation ✓ · ✓
SROFeeling abnormal ✓ · ✓
SROInjection site pain ✓ · ✓
SROOropharyngeal pain ✓ · ✓
SROThroat irritation ✓ · ✓
SROToothache ✓ · ✓

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