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PDB-18699-13255

1 vaccination 4 coded responses 5 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
982 / WA
Registered
2021-10-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-10-15
    Dose 1 — Moderna
  2. 2021-10-20
    Registered in v-safe
  3. 2021-10-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain lower, Hypoaesthesia — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Pain in lower belly and numbness on left arm and left leg
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-10-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  5. 2021-10-22
    Survey response — day 7, dose 1
    MedDRA: Insomnia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Insomnia
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-10-29
    Survey response — day 14, dose 1
    MedDRA: Adnexa uteri pain, Muscle spasms, Neuralgia — Feeling: Fair
    Free text: Pain in ovaries/ cramps but not even close to my menstrual cycle. Pain in nerves in arm and groin area.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-07
    Survey response — day 21, dose 1
    MedDRA: Muscle spasms, Muscle twitching — Feeling: Fair
    Free text: Twitching thumb/spasm for an hour
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-10-15Moderna No

Free text

Release 10 — days 1–6 daily, dose 1

2021-10-20

Systemic reaction (other): Pain in lower belly and numbness on left arm and left leg

Release 10 — day 7, dose 1

2021-10-22

Systemic reaction (other): Insomnia

Release 10 — day 14, dose 1

2021-10-29

Symptoms: Pain in ovaries/ cramps but not even close to my menstrual cycle. Pain in nerves in arm and groin area.

Release 10 — day 21, dose 1

2021-11-07

Symptoms: Twitching thumb/spasm for an hour

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
SDAdnexa uteri pain · · ✓
SDMuscle spasms · · ✓
SDMuscle twitching · · ✓
SDNeuralgia · · ✓
SROAbdominal pain lower · · ✓
SROHypoaesthesia · · ✓
SROInsomnia · · ✓

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