2H4-10900-49022
4 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 997 / AK
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Injection site pain — Feeling: GoodFree text: minor bruised feeling when touching injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
-
2021-08-13
Survey response — 6 months, dose 2MedDRA: Arthralgia, Arthropathy, Office visit, Shoulder arthroplasty, Surgery — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Increased rt shoulder pain and limitation in function. Had reverse total shoulder replacement surgery in June. · Healthcare visit (other): Scheduled in-clinic appts, pre-surgery evaluations, hospital out-patient surgery.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-13
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-12-16
Dose 3 — Moderna
-
2022-02-12
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: Delta variant Sept 2021. Very mild Omicron Jan. 2022. Really serious but no hospitalMedDRA releases: 2024-11 · check-in free text available
-
2022-05-25
Dose 4 — Moderna
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-28
-
2022-05-29
Survey response — days 1–6 daily, dose 4MedDRA: COVID-19 — Feeling: GoodFree text: I had mild delta covid 9/2021. Serious Omicron 1/2022.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-30
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: Waste of time. I have NO adverse reactions to shots. May have to text stop soonMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
| 4 | 2022-05-25 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): minor bruised feeling when touching injection site
Release 9 — 6 months, dose 2
Symptoms: Increased rt shoulder pain and limitation in function. Had reverse total shoulder replacement surgery in June.
Healthcare visit (other): Scheduled in-clinic appts, pre-surgery evaluations, hospital out-patient surgery.
Release 11 — 12 months, dose 2
Symptoms: Delta variant Sept 2021. Very mild Omicron Jan. 2022. Really serious but no hospital
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I had mild delta covid 9/2021. Serious Omicron 1/2022.
Systemic reaction (other): Waste of time. I have NO adverse reactions to shots. May have to text stop soon
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 | Surgery | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Arthropathy | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Shoulder arthroplasty | ✓ | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release