24X-18249-46811
4 vaccinations
6 coded responses
29 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 949 / CA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-03-04
Dose 2 — Moderna
-
2021-03-05
Registered in v-safe
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-11
- 2021-03-18
- 2021-03-27
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-03
-
2021-10-25
Dose 3 — Moderna
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My 2 symptoms are likely unrelated to the booster.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease — Feeling: Good · Muscle or body achesFree text: Again, the muscle stuff preceded the booster.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — day 7, dose 3MedDRA: Adverse reaction — Feeling: Good · Muscle or body achesFree text: Above, as previously mentioned, likely not related to booster.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-26
-
2022-04-26
Survey response — 6 months, dose 3MedDRA: Cyst, Magnetic resonance imaging abnormal, Office visit, Physiotherapy, Sciatica — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Sciatica; MRI indicates a large cyst is likely the cause , tho there're a few other items that may be playing a role. · Healthcare visit (other): Doctor visit, MRI, PTMedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-28
-
2022-05-09
Dose 4 — Moderna
-
2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Cyst, Office visit, Pain, Sciatica — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): The aches are due to sciatica/a cyst at L5S1. · Healthcare visit (other): Yes, I'm under a doctor's care & will have surgery for the cyst on 6/3/22..MedDRA releases: 2024-11 · check-in free text available
-
2022-05-14
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-17
- 2022-05-17
- 2022-05-20
-
2022-05-23
Survey response — day 14, dose 4MedDRA: Erythema, Peripheral swelling, Pre-existing disease, Telemedicine — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: This arose ~ on 5/12/22 & is still slightly true: a swollen & red left hand; a reaction to the 2nd booster ~ 2 days earlier? Shot was on rt. arm, tho; additionally I have lymphedema in my left arm. No flare-ups tho for several years. · Healthcare visit (other): A brief Zoom w my GP who suspected it was a reaction to booster.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-24
- 2022-05-24
- 2022-05-24
- 2022-06-14
- 2022-06-20
- 2022-08-08
- 2022-11-07
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-05-09 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My 2 symptoms are likely unrelated to the booster.
Systemic reaction (other): Again, the muscle stuff preceded the booster.
Release 10 — day 7, dose 3
Systemic reaction (other): Above, as previously mentioned, likely not related to booster.
Release 11 — 6 months, dose 3
Symptoms: Sciatica; MRI indicates a large cyst is likely the cause , tho there're a few other items that may be playing a role.
Healthcare visit (other): Doctor visit, MRI, PT
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): The aches are due to sciatica/a cyst at L5S1.
Healthcare visit (other): Yes, I'm under a doctor's care & will have surgery for the cyst on 6/3/22..
Release 11 — day 14, dose 4
Symptoms: This arose ~ on 5/12/22 & is still slightly true: a swollen & red left hand; a reaction to the 2nd booster ~ 2 days earlier? Shot was on rt. arm, tho; additionally I have lymphedema in my left arm. No flare-ups tho for several years.
Healthcare visit (other): A brief Zoom w my GP who suspected it was a reaction to booster.
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 | Office visit | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| HCVO | Telemedicine | · | · | ✓ |
| SD | Cyst | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Magnetic resonance imaging abnormal | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sciatica | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Cyst | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Sciatica | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release