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
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Moderna
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2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
-
2021-04-27
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Asthenia, Back pain, Diarrhoea, Headache, Musculoskeletal chest pain, Pyrexia, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
- 2021-05-04
- 2021-05-11
-
2021-05-12
Dose 2 — Moderna
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-06-23
- 2021-08-11
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2021-11-11
Survey response — 6 months, dose 2MedDRA: Injection site nodule, Injection site pain, Pain in extremity, Tenderness — Feeling: FairFree 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
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2022-05-12
Survey response — 12 months, dose 2MedDRA: Injection site nodule, Injection site pain, Injection site swelling, Tenderness — Feeling: FairFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-12 | Moderna |
Free text
Release 8 — day 14, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site nodule | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Tenderness | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release