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24W-19397-55687

3 vaccinations 3 coded responses 31 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
559 / MN
Registered
2021-02-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Registered in v-safe
  2. 2021-02-10
    Dose 1 — Moderna
  3. 2021-02-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  5. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-10
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-11
    Dose 2 — Moderna
  13. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Headache
    Adult check-in
  16. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  17. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  18. 2021-03-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-09-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-16
    Dose 3 — Moderna
  24. 2021-11-16
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Fatigue or tiredness
    Adult check-in
  25. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school
    Adult check-in
  26. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  27. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness
    Adult check-in
  28. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  29. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  30. 2021-11-25
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2021-12-14
    Survey response — day 28, dose 3
    MedDRA: Impaired work ability, Loss of personal independence in daily activities, Myalgia, Sleep disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Today & yesterday- severe arm pain of unknown cause on my front/inner left bicep (this is the arm where I received my COVID booster). It is taking 3X longerto get dressed and complete other ADLs, affected my sleep last night, kept me home from work.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-21
    Survey response — day 35, dose 3
    MedDRA: Cellulitis, Emergency care, Musculoskeletal disorder, Office visit, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Likely incorrectly diagnosed with cellulitis at the ED when my complaint was regarding bicep/upper arm extreme pain. The issue I actually have is musculoskeletal in nature. I think it's a rotator cuff tear. Currently in waiting room for orthopedics.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-12-21
    Report sent to call center — day 35, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  34. 2021-12-23
  35. 2021-12-29
  36. 2022-01-07
  37. 2022-02-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-05-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-11-17
    Survey response — 12 months, dose 3
    MedDRA: Malaise, Nasopharyngitis, Otitis media, Productive cough — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Severe common cold which turned into otitis media, better/without illness for approx. 10 days, then ill with a different common cold (both colds involved terrible phlegmmy coughs so bad I nearly vomited a number of times) which has lasted 2.5 weeks.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-11-17
    Report sent to call center — 12 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  41. 2022-11-18
  42. 2022-11-18

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-11Moderna
32021-11-16Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 10 — day 28, dose 3

2021-12-14

Symptoms: Today & yesterday- severe arm pain of unknown cause on my front/inner left bicep (this is the arm where I received my COVID booster). It is taking 3X longerto get dressed and complete other ADLs, affected my sleep last night, kept me home from work. cut off by CDC

Release 10 — day 35, dose 3

2021-12-21

Symptoms: Likely incorrectly diagnosed with cellulitis at the ED when my complaint was regarding bicep/upper arm extreme pain. The issue I actually have is musculoskeletal in nature. I think it's a rotator cuff tear. Currently in waiting room for orthopedics. cut off by CDC

Release 12 — 12 months, dose 3

2022-11-17

Symptoms: Severe common cold which turned into otitis media, better/without illness for approx. 10 days, then ill with a different common cold (both colds involved terrible phlegmmy coughs so bad I nearly vomited a number of times) which has lasted 2.5 weeks. cut off by CDC

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
SDCellulitis · · ✓
SDEmergency care · · ✓
SDImpaired work ability · · ✓
SDLoss of personal independence in daily activities · · ✓
SDMalaise · · ✓
SDMusculoskeletal disorder · · ✓
SDMyalgia · · ✓
SDNasopharyngitis · · ✓
SDOffice visit · · ✓
SDOtitis media · · ✓
SDPain in extremity · · ✓
SDProductive cough · · ✓
SDSleep disorder · · ✓

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