28Z-16325-12831
5 vaccinations
8 coded responses
61 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 808 / CO
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
-
2021-03-11
Survey response — day 0, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: Pain · NauseaFree text: A weird taste in my mouth, kind of like mayonnaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
-
2021-03-25
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Pyrexia — Feeling: GoodFree text: Fevers at night and intense itching at the injection site. I didnt scratch though!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
-
2021-04-08
Dose 2 — Moderna
-
2021-04-08
Survey response — day 0, dose 2MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Chills, HeadacheFree text: I have lupus and fibromyalgia.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal chest pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My rib cage really hurts. It is hard to put on my coat and I feel like I was in a car accident.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Fibromyalgia, Pre-existing disease, Systemic lupus erythematosus — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I think the 2nd shot triggered either a fibromyalgia or lupus flare. It is hard for me to differentiate because the symptoms are sometimes interchangeable. The good news is my symptoms are more manageable today. I am very grateful for the vaccine! Thank you.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-07-08
- 2021-10-07
-
2021-11-22
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Fall, Myalgia, Pain in extremity, Pre-existing disease — Feeling: GoodFree text: The VSafe website was down for maintenance the day I got my booster shot. On 11/22/21 and 11/23/21 I was very sore all over with muscle and joint pain. My arms were very sore. I fell down on 11/24/21.I feel great now on 11/25/21. I have lupus & copd.MedDRA releases: 2024-11 · check-in free text available
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2021-11-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-28
- 2022-01-03
- 2022-02-21
-
2022-04-22
Dose 4 — Moderna
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2022-04-22
Survey response — day 0, dose 4MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lupus & COPDMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Report sent to call center — day 0, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Asthenia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: WeaknessMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-04-25
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
-
2022-10-27
Dose 5 — Moderna
- 2022-10-27
-
2022-10-28
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-29
Health check-in — days 1–6 daily, dose 5Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-30
- 2022-11-02
- 2022-11-03
- 2022-11-12
- 2022-11-18
- 2022-11-25
- 2022-12-01
- 2022-12-08
- 2023-01-30
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-11-22 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-10-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): A weird taste in my mouth, kind of like mayonnaise
Release 6 — day 14, dose 1
Symptoms: Fevers at night and intense itching at the injection site. I didnt scratch though!
Release 7 — day 0, dose 2
Systemic reaction (other): I have lupus and fibromyalgia.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My rib cage really hurts. It is hard to put on my coat and I feel like I was in a car accident.
Systemic reaction (other): I think the 2nd shot triggered either a fibromyalgia or lupus flare. It is hard for me to differentiate because the symptoms are sometimes interchangeable. The good news is my symptoms are more manageable today. I am very grateful for the vaccine! Thank you.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The VSafe website was down for maintenance the day I got my booster shot. On 11/22/21 and 11/23/21 I was very sore all over with muscle and joint pain. My arms were very sore. I fell down on 11/24/21.I feel great now on 11/25/21. I have lupus & copd. cut off by CDC
Release 11 — day 0, dose 4
Systemic reaction (other): Lupus & COPD
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Weakness
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 | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Fall | · | · | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release