K39-24989-60563
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 174 / PA
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-08
Dose 1 — Moderna
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2021-03-09
Registered in v-safe
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Chest pain, Neuralgia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Off again on again Severe back/nerve/chest pain on right side (injection on left arm).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Chest pain, Cough, Painful respiration, Self-medication, Sneezing — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: Significant pain in back/chest, aspirin does not relieve.hurts to inhale, cough, sneeze, or bendMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-03-14
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2021-03-17
Health check-in — day 7, dose 1Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-29
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2021-04-05
Dose 2 — Moderna
- 2021-04-05
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-09
- 2021-04-10
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2021-04-12
Health check-in — day 7, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-19
- 2021-04-26
- 2021-05-05
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2021-05-10
Survey response — day 35, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Im pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-07-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Off again on again Severe back/nerve/chest pain on right side (injection on left arm).
Systemic reaction (other): Significant pain in back/chest, aspirin does not relieve.hurts to inhale, cough, sneeze, or bend
Release 8 — day 35, dose 2
Symptoms: Im pregnant
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 | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Painful respiration | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release