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YJG-27798-03053

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
609 / IL
Registered
2021-01-28
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-01-26
    Dose 1 — Moderna
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Fatigue, Headache, Pain — Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: On 1/27 I was extremely tired fatigue chills and body aches that has all subsided only a slight headache today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  6. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-23
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-02
    Dose 2 — Moderna
  11. 2021-03-02
    Survey response — day 0, dose 2
    MedDRA: Muscle tightness — Feeling: Good
    Free text: Neck tightness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Muscle or body aches
    Adult check-in
  14. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  15. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  16. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  17. 2021-03-09
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  18. 2021-03-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-23
    Survey response — day 21, dose 2
    MedDRA: Pain in extremity, Pain in jaw — Feeling: Good · Be unable to do your normal daily activities
    Free text: TMJ pain Finger joint painNever experienced these symptoms before
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-01
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Pain in extremity, Pain in jaw — Feeling: Good
    Free text: Still experiencing elbow joint pain jaw pain seems to be getting better and so is the finger joint pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-06
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Pain in jaw — Feeling: Good · Be unable to do your normal daily activities
    Free text: Im still experiencing severe elbow and finger joint pain. Jaw pain seems to be better so far.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-14
    Survey response — day 42, dose 2
    MedDRA: Pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Body aches across my upper back a few times a week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-03-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-03-02Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): On 1/27 I was extremely tired fatigue chills and body aches that has all subsided only a slight headache today

Release 4 — day 0, dose 2

2021-03-02

Systemic reaction (other): Neck tightness

Release 6 — day 21, dose 2

2021-03-23

Symptoms: TMJ pain Finger joint painNever experienced these symptoms before

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Still experiencing elbow joint pain jaw pain seems to be getting better and so is the finger joint pain

Release 7 — day 35, dose 2

2021-04-06

Symptoms: Im still experiencing severe elbow and finger joint pain. Jaw pain seems to be better so far.

Release 7 — day 42, dose 2

2021-04-14

Symptoms: Body aches across my upper back a few times a 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
SDArthralgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPain in jaw ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMuscle tightness ✓ ✓ ✓
SROPain ✓ ✓ ✓

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

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