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XWU-25082-60065

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
232 / VA
Registered
2021-01-08
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Dose 1 — Moderna
  2. 2021-01-08
    Registered in v-safe
  3. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Lymph node pain — Feeling: Fair · Site: Pain · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Eye pain — Feeling: Fair · Site: Pain · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain — Feeling: Fair · Site: Pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-01-13
    Health check-in — 7 day, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-20
    Health check-in — 14 day, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-27
    Survey response — 21 day, dose 1
    MedDRA: Nausea — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-02-03
    Dose 2 — Moderna
  10. 2021-02-03
    Survey response — 0 day, dose 2
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  13. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  14. 2021-02-10
    Survey response — 7 day, dose 2
    MedDRA: Headache — Feeling: Fair · Headache, Nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  15. 2021-02-17
    Health check-in — 14 day, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-02-26
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-20
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-06
    Health check-in — 3 month, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-08-07
    Survey response — 6 month, dose 2
    MedDRA: Muscle spasms — Feeling: Fair
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  20. 2022-02-03
    Survey response — 12 month, dose 2
    MedDRA: Bone pain, COVID-19, SARS-CoV-2 test positive — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-03Moderna

Free text

Release 1

Systemic reaction (other): Armpit pain on arm that recived injection, like lymphoid pain

Systemic reaction (other): Mild pain around eyes, armpit still hurts

Systemic reaction (other): Mild pain in my armpit

Release 2

Symptoms: Nausea

Release 3

Systemic reaction (other): Feels like I got beat in the arm with a wrench

Systemic reaction (other): Cramping also 2/6 same symptoms but definitely moderate

Release 4

Systemic reaction (other): Sharp headaches that come and go

Release 9

Symptoms: Lots of cramping

Release 11

Symptoms: Bone pain since 1.25.2022 right knee and hip. Covid-19 test day 1.9.2022 and notifed and confirmed 1.13.2022 Symptomatic from 1.1.2022 to 1.19.2022

Free-text releases are not linked to a specific 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
SDBone pain · · ✓
SDCOVID-19 · · ✓
SDMuscle spasms ✓ · ✓
SDNausea ✓ ✓ ✓
SDSARS-CoV-2 test positive · · ✓
SROAxillary pain ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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