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Y5W-29438-83015

3 vaccinations 5 coded responses 27 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
853 / AZ
Registered
2021-03-03
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Dose 1 — Moderna
  2. 2021-03-03
    Registered in v-safe
  3. 2021-03-03
    Survey response — day 14, dose 1
    MedDRA: Injection site pain, Myalgia, Pain in extremity — Feeling: Good
    Free text: Pain of the injection site starting at the same day of the injection, last for three days. Left leg muscle pain starting 5 days after injection, last for two days. Left leg muscle pain on and off after that.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-13
    Dose 2 — Moderna
  6. 2021-03-13
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  9. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  11. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Abdominal pain
    Free text: Dont know if it is related to vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  13. 2021-03-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-03
    Survey response — day 21, dose 2
    MedDRA: Pruritus — Feeling: Good
    Free text: Feel itch on the skin from time to time and dont know if it is related to vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-01-05
    Dose 3 — Moderna
  22. 2022-01-05
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  23. 2022-01-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  24. 2022-01-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  25. 2022-01-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Joint pains, Abdominal pain
    Adult check-in
  26. 2022-01-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Diarrhea, Abdominal pain
    Adult check-in
  27. 2022-01-14
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2022-01-22
    Survey response — day 14, dose 3
    MedDRA: Sensory disturbance — Feeling: Good
    Free text: Abnormal sensation on left side of my face
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-01-28
    Survey response — day 21, dose 3
    MedDRA: Palpitations — Feeling: Good
    Free text: Feel palpitations after vaccination, less noticeable this week.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-02-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-04-08
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-13Moderna
32022-01-05Moderna No

Free text

Release 5 — day 14, dose 1

2021-03-03

Symptoms: Pain of the injection site starting at the same day of the injection, last for three days. Left leg muscle pain starting 5 days after injection, last for two days. Left leg muscle pain on and off after that.

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Dont know if it is related to vaccination

Release 6 — day 21, dose 2

2021-04-03

Symptoms: Feel itch on the skin from time to time and dont know if it is related to vaccination.

Release 11 — day 14, dose 3

2022-01-22

Symptoms: Abnormal sensation on left side of my face

Release 11 — day 21, dose 3

2022-01-28

Symptoms: Feel palpitations after vaccination, less noticeable this week.

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
SDInjection site pain ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPalpitations · · ✓
SDPruritus ✓ ✓ ✓
SDSensory disturbance · · ✓
SROAdverse reaction ✓ ✓ ✓

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