ZBE-69553-80474
4 vaccinations
9 coded responses
52 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 146 / NY
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
-
2021-04-02
Survey response — day 14, dose 1MedDRA: Arthritis, Back pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: A lot if pain in my back but, I have experienced this similar pain due to my arthritis. I have an appointment to see my spinal orthopedic doctor April 7. Sometimes I need an anti inflammatory injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
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2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
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2021-04-23
Survey response — day 7, dose 2MedDRA: Injection site pain, Injection site swelling, Injection site warmth — Feeling: Good · Muscle or body achesFree text: Swelling several inches below where shot given. Was warm and sore. Today just a bump.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 14, dose 2MedDRA: Bursitis, Myalgia — Feeling: FairFree text: My left elbow is swollen just happened yesterday. Today I feel muscle aches in various places. This could just be an autoimmune flare.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-05-22
- 2021-05-28
- 2021-07-16
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2021-08-26
Dose 3 — Moderna
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2021-08-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body achesAdult check-in
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2021-08-28
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal discomfort, Faeces soft — Feeling: Good · Site: Pain, Swelling · Abdominal painFree text: Don't have diarrhea, but my stool is loose and I pretty much emptied myself first thing today. Stomach is a bit upset, watching what I eat.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
- 2021-08-30
- 2021-08-31
- 2021-09-01
- 2021-09-02
- 2021-09-09
- 2021-09-16
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2021-09-23
Survey response — day 28, dose 3MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: For 2 days in a row I had very loose stool just like the day after I had my booster. But that only occurred for one evening, this occurred for 2 evenings on a row.MedDRA releases: 2024-11 · check-in free text available
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2021-09-30
Survey response — day 35, dose 3MedDRA: Arthralgia, Arthritis, Body temperature increased, Pre-existing disease, Rash — Feeling: FairFree text: My arthritis seems a little worse, more pain and aching and my face is broken out in a rash. Face could be over exfoliated, but looks a little different. Also have a very slight temp. I usually run about 97.9 and I'm 98.7.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-07
- 2021-11-25
- 2022-02-24
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2022-04-14
Dose 4 — Moderna
- 2022-04-14
- 2022-04-15
-
2022-04-16
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Muscle or body achesAdult check-in
- 2022-04-18
- 2022-04-19
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2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-07-14
- 2022-10-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-08-26 | Moderna | No |
| 4 | 2022-04-14 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 6 — day 14, dose 1
Symptoms: A lot if pain in my back but, I have experienced this similar pain due to my arthritis. I have an appointment to see my spinal orthopedic doctor April 7. Sometimes I need an anti inflammatory injection.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): No
Systemic reaction (other): No
Release 7 — day 7, dose 2
Systemic reaction (other): Swelling several inches below where shot given. Was warm and sore. Today just a bump.
Release 8 — day 14, dose 2
Symptoms: My left elbow is swollen just happened yesterday. Today I feel muscle aches in various places. This could just be an autoimmune flare.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Don't have diarrhea, but my stool is loose and I pretty much emptied myself first thing today. Stomach is a bit upset, watching what I eat.
Release 9 — day 28, dose 3
Symptoms: For 2 days in a row I had very loose stool just like the day after I had my booster. But that only occurred for one evening, this occurred for 2 evenings on a row.
Release 9 — day 35, dose 3
Symptoms: My arthritis seems a little worse, more pain and aching and my face is broken out in a rash. Face could be over exfoliated, but looks a little different. Also have a very slight temp. I usually run about 97.9 and I'm 98.7.
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 | Arthralgia | · | · | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Bursitis | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | · | ✓ |
| SRO | Faeces soft | ✓ | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release