Y76-20471-77828
2 vaccinations
9 coded responses
23 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 194 / PA
- Registered
- 2021-05-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-05
Dose 1 — Moderna
-
2021-05-06
Registered in v-safe
-
2021-05-06
Survey response — days 1–6 daily, dose 1MedDRA: Mobility decreased — Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tirednessFree text: Super dead arm like i got punched really hard. Arm lifted movement hardMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2021-05-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Fatigue or tirednessAdult check-in
-
2021-05-09
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Feeling abnormal — Feeling: Good · Chills, Fatigue or tirednessFree text: Tired kinda spacy tooMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-05-11
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-19
- 2021-05-26
-
2021-06-02
Dose 2 — Moderna
- 2021-06-02
-
2021-06-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-06-04
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Fatigue, Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Bad stiffness joint pain super tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-05
Survey response — days 1–6 daily, dose 2MedDRA: Migraine, Pre-existing disease, Self-medication — Feeling: Fair · Site: Swelling, Itching · HeadacheFree text: Mad migraine had to take migraine pill havent had one in a whileMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-06
Survey response — days 1–6 daily, dose 2MedDRA: Migraine — Feeling: Fair · Site: Itching · Fever · Headache · Be unable to do your normal daily activitiesFree text: Temp usually 96.8 last night hot 98.7 for me thats high an have had a migraine not head ach since yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-07
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessFree text: Super tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site induration, Injection site mass, Injection site pruritus — Feeling: Fair · Site: Swelling, ItchingFree text: Hard Lump at shot site a itches really badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
- 2021-06-16
-
2021-06-25
Survey response — day 21, dose 2MedDRA: Back pain, Chest pain — Feeling: FairFree text: On an off chest pain an lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-02
- 2021-07-08
- 2021-07-15
- 2021-12-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-05 | Moderna | |
| 2 | 2021-06-02 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Super dead arm like i got punched really hard. Arm lifted movement hard
Systemic reaction (other): Tired kinda spacy too
Systemic reaction (other): Cough
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Bad stiffness joint pain super tired
Systemic reaction (other): Mad migraine had to take migraine pill havent had one in a while
Systemic reaction (other): Temp usually 96.8 last night hot 98.7 for me thats high an have had a migraine not head ach since yesterday
Systemic reaction (other): Super tired
Systemic reaction (other): Hard Lump at shot site a itches really bad
Release 9 — day 21, dose 2
Symptoms: On an off chest pain an lower back pain
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 |
|---|---|---|---|---|
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site induration | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release