XXA-25468-91832
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
- 841 / UT
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-09
Registered in v-safe
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2021-04-09
Dose 1 — Moderna
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2021-04-09
Health check-in — 0 day, dose 1Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Vomiting — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes, Oropharyngeal pain, Pelvic pain — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-16
Survey response — 7 day, dose 1MedDRA: Chest pain, Nicotine dependence — Feeling: Good · Headache, Abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-23
Survey response — 14 day, dose 1MedDRA: Abdominal pain, Chest pain, Chills, Headache, Insomnia, Muscle spasms, Myalgia, Pain in extremity, Pain in jaw, Pyrexia — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-30
Survey response — 21 day, dose 1MedDRA: Back pain, Headache, Pain in extremity — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-07
Dose 2 — Moderna
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2021-05-07
Health check-in — 0 day, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body achesAdult check-in
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Headache, Toothache — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Headache, Fatigue or tirednessAdult check-in
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2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-14
Survey response — 7 day, dose 2MedDRA: Electric shock sensation — Feeling: Fair · Fatigue or tiredness, NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-07 | Moderna |
Free text
Release 7
Systemic reaction (other): Sore throat, vomiting
Systemic reaction (other): Craving Cigarettes and im not a smoker at all
Systemic reaction (other): Sore throat, intermittent pelvic pain, cold sores
Systemic reaction (other): Chest Pain
Systemic reaction (other): Chest pain and craving Cigarettes even though ive never smoked before
Symptoms: Muscle spasms and pain in calves, sharp pain in jaw on both sides, abdominal pain, craving tobacco (not a smoker) insomnia, headaches, sore arm, chest pain, chills, leg pain, diarrhea and muscle aches
Release 8
Symptoms: Low back, leg and feet pain. Headaches
Systemic reaction (other): Hurts my head to cough, teeth hurt
Systemic reaction (other): Brain Shudders
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Electric shock sensation | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nicotine dependence | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pelvic pain | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release