ZP3-80689-68455
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 182 / PA
- Registered
- 2021-07-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-07-24
Dose 1 — Moderna
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2021-07-25
Registered in v-safe
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2021-07-25
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-07-26
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-07-27
Survey response — days 1–6 daily, dose 1MedDRA: Joint stiffness — Feeling: Fair · Joint pains, Muscle or body achesFree text: Ankles feel like they are stiff or maybe start to retain water.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-28
Survey response — days 1–6 daily, dose 1MedDRA: Contusion, Hypoaesthesia — Feeling: Good · Site: Itching · Muscle or body achesFree text: Numb feel to my ankle and feet, developed a bruise on my right lower leg near my ankle,feels like a slight bump might be developing, will keep an eye on it. Please advise if need beMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-29
- 2021-07-30
- 2021-07-31
- 2021-08-07
- 2021-08-14
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2021-08-21
Dose 2 — Moderna
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2021-08-21
Survey response — day 0, dose 2MedDRA: Flank pain, Mobility decreased, Muscle spasms — Feeling: Poor · Abdominal pain · Be unable to do your normal daily activitiesFree text: Poor mobility due pain and pinching and spasms in the lower right side. Lots of pain. ImmobileMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-22
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain, Flank pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain in my lower right side around hip to my backbone,. Other condition not associated with the vaccineMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-08-24
- 2021-08-25
- 2021-08-26
- 2021-08-27
- 2021-08-28
- 2021-09-04
- 2021-09-11
- 2021-09-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-24 | Moderna | No |
| 2 | 2021-08-21 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Ankles feel like they are stiff or maybe start to retain water.
Systemic reaction (other): Numb feel to my ankle and feet, developed a bruise on my right lower leg near my ankle,feels like a slight bump might be developing, will keep an eye on it. Please advise if need be
Release 9 — day 0, dose 2
Systemic reaction (other): Poor mobility due pain and pinching and spasms in the lower right side. Lots of pain. Immobile
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in my lower right side around hip to my backbone,. Other condition not associated with the vaccine
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | · | ✓ |
| SRO | Back pain | ✓ | · | ✓ |
| SRO | Contusion | ✓ | · | ✓ |
| SRO | Flank pain | ✓ | · | ✓ |
| SRO | Hypoaesthesia | ✓ | · | ✓ |
| SRO | Joint stiffness | ✓ | · | ✓ |
| SRO | Mobility decreased | ✓ | · | ✓ |
| SRO | Muscle spasms | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release