22U-33409-25910
6 vaccinations
2 coded responses
39 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 857 / AZ
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
-
2021-09-30
Survey response — 6 months, dose 2MedDRA: Arthralgia, Asthenia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My feet and ankles hurt. Pain comes and goes intermittently, but occurs for at least 2 hours every day. Usually, Id rate it between a 2 and 4 on a 10 point scale. But sometimes its really debilitating, around 6 or 7 on 10 point scale.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Dose 3 — Moderna
-
2022-04-01
Dose 4 — Moderna
-
2022-04-02
Survey response — 12 months, dose 2MedDRA: Adverse reaction, Breast cancer, Mastectomy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Symptoms: I was diagnosed with breast cancer in October 2021 and had a bilatetal mastectomy March 18, 2022. No symptoms or problems related to Covid or vaccine. · Healthcare visit (other): None of my health issues are related to covid or the vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-02
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
- 2022-04-05
-
2022-04-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-09-09
Dose 5 — Moderna
- 2022-09-16
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-12
-
2023-04-21
Dose 6 — Moderna
- 2023-05-08
- 2023-05-12
- 2023-05-19
- 2023-05-26
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
| 6 | 2023-04-21 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — 6 months, dose 2
Symptoms: My feet and ankles hurt. Pain comes and goes intermittently, but occurs for at least 2 hours every day. Usually, Id rate it between a 2 and 4 on a 10 point scale. But sometimes its really debilitating, around 6 or 7 on 10 point scale.
Release 11 — 12 months, dose 2
Symptoms: I was diagnosed with breast cancer in October 2021 and had a bilatetal mastectomy March 18, 2022. No symptoms or problems related to Covid or vaccine.
Healthcare visit (other): None of my health issues are related to covid or 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 |
|---|---|---|---|---|
| HCVO | Adverse reaction | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Breast cancer | · | · | ✓ |
| SD | Mastectomy | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release