Y39-32382-51814
3 vaccinations
5 coded responses
9 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 597 / MT
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-08
Dose 1 — Moderna
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2021-01-09
Registered in v-safe
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Immediate post-injection reaction, Injection site bruising, Self-medication, Wheezing — Feeling: Good · Site: Pain, SwellingFree text: Visible bruising at the site of injection (today: 1/9), wheezing within thirty minutes after injection that resolved with an albuterol inhaler (yesterday: 1/8), a headache that began within an hour after getting the injection that resolved later in the day without NSAIDs (yesterday: 1/8)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Site: Pain, SwellingFree text: Intensity of the pain and swelling has decreased throughout the day: I should be able to lay on it tonight without it keeping me up or waking me up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · Site: PainFree text: Sudden nausea that started about 2130: I do NOT think this is related to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Dose 2 — Moderna
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2021-02-05
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Not enough time has passed to develop symptoms. I just got it ten minutes ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Chillblains, Flushing, Headache, Injection site pain, Malaise, Muscle fatigue — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tirednessFree text: Fairly profound muscle fatigue. Temperature was 36.99 C 10-15 mins ago and is now 37.05 C which is slightly elevated and obviously climbing. I feel flushed and like my temperature is elevated. Ive had general malaise all day, intermittent chills, and a low grade headache intermittently throughout the day as well. Pain at the injection sight has progressively worsened all day: I suspect a contusion to appear sometime tomorrow and the pain level to be severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
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2021-10-23
Dose 3 — Moderna
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2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-10-25
- 2021-12-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Visible bruising at the site of injection (today: 1/9), wheezing within thirty minutes after injection that resolved with an albuterol inhaler (yesterday: 1/8), a headache that began within an hour after getting the injection that resolved later in the day without NSAIDs (yesterday: 1/8)
Systemic reaction (other): Intensity of the pain and swelling has decreased throughout the day: I should be able to lay on it tonight without it keeping me up or waking me up.
Systemic reaction (other): Sudden nausea that started about 2130: I do NOT think this is related to the vaccine
Release 3 — day 0, dose 2
Systemic reaction (other): Not enough time has passed to develop symptoms. I just got it ten minutes ago.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Fairly profound muscle fatigue. Temperature was 36.99 C 10-15 mins ago and is now 37.05 C which is slightly elevated and obviously climbing. I feel flushed and like my temperature is elevated. Ive had general malaise all day, intermittent chills, and a low grade headache intermittently throughout the day as well. Pain at the injection sight has progressively worsened all day: I suspect a contusion to appear sometime tomorrow and the pain level to be severe.
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 |
|---|---|---|---|---|
| SRO | Chillblains | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Muscle fatigue | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release