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Y79-33756-88162

2 vaccinations 3 coded responses 23 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
400 / KY
Registered
2021-04-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-13
    Registered in v-safe
  2. 2021-04-13
    Dose 1 — Moderna
  3. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-04-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-27
    Survey response — day 14, dose 1
    MedDRA: Abdominal pain upper, Asthenia, Back pain, Diarrhoea, Headache, Musculoskeletal chest pain, Pyrexia, Vomiting — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Headache, stomach pains, vomiting, diarrhea, fever, very weak. This lasted for 3 days. Im still weak and have pain in my ribs and back. I assume I had some type of virus.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-11
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-12
    Dose 2 — Moderna
  13. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  15. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  16. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  18. 2021-05-19
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  19. 2021-05-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-11
    Survey response — 6 months, dose 2
    MedDRA: Injection site nodule, Injection site pain, Pain in extremity, Tenderness — Feeling: Fair
    Free text: In the area of each vaccine injections I have a small knot and both areas are tender to the touch. They have been like this since getting the vaccine. At times the entire upper arm is sore/tender.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-05-12
    Survey response — 12 months, dose 2
    MedDRA: Injection site nodule, Injection site pain, Injection site swelling, Tenderness — Feeling: Fair
    Free text: At the injection site, I still have a knot and pain. My left arm remains swollen at the injection site.. Both arms remain very tender.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-12Moderna

Free text

Release 8 — day 14, dose 1

2021-04-27

Symptoms: Headache, stomach pains, vomiting, diarrhea, fever, very weak. This lasted for 3 days. Im still weak and have pain in my ribs and back. I assume I had some type of virus.

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: In the area of each vaccine injections I have a small knot and both areas are tender to the touch. They have been like this since getting the vaccine. At times the entire upper arm is sore/tender.

Release 11 — 12 months, dose 2

2022-05-12

Symptoms: At the injection site, I still have a knot and pain. My left arm remains swollen at the injection site.. Both arms remain very tender.

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
SDAbdominal pain upper ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site nodule · · ✓
SDInjection site pain · · ✓
SDInjection site swelling · · ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDPain in extremity · · ✓
SDPyrexia ✓ ✓ ✓
SDTenderness · · ✓
SDVomiting ✓ ✓ ✓

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