2AW-24833-11430
4 vaccinations
4 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 385 / TN
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Registered in v-safe
-
2021-02-28
Dose 1 — Pfizer-BioNTech
-
2021-02-28
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Arm aches a little bit, mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-14
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash — Feeling: GoodFree text: I developed a red, slightly itchy rash about 4 inches long at my injection sight on the 8th day after my first vaccine. I had the pharmacist check it, and she suggested applying benedryl cream and said she would report it. The rash faded in 4 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
-
2021-03-28
Dose 2 — Moderna
- 2021-03-28
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tirednessFree text: I would like to report correction for my first vaccine. Walmart 687 erred when they indicated that my first vaccine was Pfizer. They told me on Sunday 3/38 that they never had Pfizer and that both of my vaccines are Moderna.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-11
- 2021-04-19
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-06-27
- 2021-09-26
-
2021-11-16
Dose 3 — Moderna
- 2022-03-28
- 2022-05-17
-
2022-06-01
Dose 4 — Moderna
- 2022-06-27
- 2022-06-29
- 2022-07-08
- 2022-07-13
- 2022-08-31
-
2022-12-01
Survey response — 6 months, dose 4MedDRA: Cough, Office visit, Respiratory tract congestion, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Congestion and cough. Diagnosed as a sinus infection. · Healthcare visit (other): Primary physician visit.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-01
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-02
- 2023-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Pfizer-BioNTech | |
| 2 | 2021-03-28 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-06-01 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Arm aches a little bit, mild
Release 5 — day 14, dose 1
Symptoms: I developed a red, slightly itchy rash about 4 inches long at my injection sight on the 8th day after my first vaccine. I had the pharmacist check it, and she suggested applying benedryl cream and said she would report it. The rash faded in 4 days. cut off by CDC
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I would like to report correction for my first vaccine. Walmart 687 erred when they indicated that my first vaccine was Pfizer. They told me on Sunday 3/38 that they never had Pfizer and that both of my vaccines are Moderna.
Release 12 — 6 months, dose 4
Symptoms: Congestion and cough. Diagnosed as a sinus infection.
Healthcare visit (other): Primary physician visit.
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 | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release