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U9B-17565-42481

2 vaccinations 6 coded responses 10 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
300 / GA
Registered
2021-04-21
Relationship
Self
Race
N/A
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-24
    Dose 1 — Moderna
  2. 2021-04-21
    Registered in v-safe
  3. 2021-04-21
    Dose 2 — Moderna
  4. 2021-04-21
    Survey response — day 0, dose 2
    MedDRA: Pain in extremity, Paraesthesia — Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Pain in center of hands and tingling in feet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Migraine, Muscular weakness — Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Migraine, muscle weakness in legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Insomnia — Feeling: Fair
    Free text: Cant sleep, loss of appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Migraine — Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to do your normal daily activities
    Free text: Migraine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-05-05
    Survey response — day 14, dose 2
    MedDRA: Insomnia, Migraine — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Migraines every other day and sleeplessness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2022-04-26
    Survey response — 12 months, dose 2
    MedDRA: Pregnancy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-21Moderna

Free text

Release 7 — day 0, dose 2

2021-04-21

Systemic reaction (other): Pain in center of hands and tingling in feet.

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Migraine, muscle weakness in legs

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Cant sleep, loss of appetite

2021-04-27

Systemic reaction (other): Migraine

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Migraines every other day and sleeplessness

Release 11 — 12 months, dose 2

2022-04-26

Symptoms: Pregnancy

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
SDInsomnia ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDPregnancy · · ✓
SRODecreased appetite ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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

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