2LN-33405-47809
4 vaccinations
8 coded responses
31 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 919 / CA
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5TV-20689-19522
Child or adolescent in my care · Male · 2021-07-02
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-01-31
Registered in v-safe
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
-
2021-02-11
Survey response — day 14, dose 1MedDRA: Gait inability, Nerve compression, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: On 1 Jan, a nerve in my right foot pinched apparently & I couldnt walk on it. I was treated but it seems to be getting worse again. I dont feel its related though to vaccine. Doc said its going to take time. Ive been in a foot foot · Healthcare visit (other): Doctor visit tooMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Swollen glands like when your throat hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-06
- 2021-03-11
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2021-03-18
Survey response — day 21, dose 2MedDRA: Lymphadenopathy, Oropharyngeal pain, Sinusitis — Feeling: FairFree text: Swollen glands and throat hurts. Sinus infection too I believe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 28, dose 2MedDRA: Sinusitis — Feeling: GoodFree text: Sinus infection both nostrils.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
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2021-04-08
Survey response — day 42, dose 2MedDRA: Office visit, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus infection · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professionalno matching call case
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2021-05-31
Survey response — 3 months, dose 2MedDRA: Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinusitis · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-28
- 2021-08-26
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2021-12-02
Dose 3 — Pfizer-BioNTech
- 2022-02-25
-
2022-04-08
Dose 4 — Moderna
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2022-04-24
Survey response — day 14, dose 4MedDRA: Arthralgia, Arthritis, Asthenia, Fatigue, Injection site erythema, Injection site swelling, Injection site warmth, Joint stiffness, Lymph node pain, Oropharyngeal pain, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: 3rd doze- sharp aching hand joints & Arthritis n hands/fingers stiff and painful for 3 days. Sore throat & gland sore 2 days. Energy low. 4th doze - Swollen, red and warm right arm around shot area for 4 days. Body ached for two days and tired.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
- 2022-05-06
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2022-05-13
Survey response — day 35, dose 4MedDRA: Atrial fibrillation, Cardioversion, Hypertension — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Atrial Fibrillation and high blood pressure. Had to have the an electrical cardioversion. Released a few hours later.MedDRA releases: 2024-11 · check-in free text available
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2022-05-13
Report sent to call center — day 35, 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 · Emergency room or emergency department visit · 1 call case(s)
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2022-05-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-21
- 2022-07-08
- 2022-10-09
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-12-02 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Moderna | No |
Call center
3 call center cases
3 successful
1 check-in flagged for a call with no call center case on record
Free text
Release 4 — day 14, dose 1
Symptoms: On 1 Jan, a nerve in my right foot pinched apparently & I couldnt walk on it. I was treated but it seems to be getting worse again. I dont feel its related though to vaccine. Doc said its going to take time. Ive been in a foot foot
Healthcare visit (other): Doctor visit too
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen glands like when your throat hurts
Release 5 — day 21, dose 2
Symptoms: Swollen glands and throat hurts. Sinus infection too I believe.
Release 6 — day 28, dose 2
Symptoms: Sinus infection both nostrils.
Release 7 — day 42, dose 2
Release 8 — 3 months, dose 2
Release 11 — day 14, dose 4
Symptoms: 3rd doze- sharp aching hand joints & Arthritis n hands/fingers stiff and painful for 3 days. Sore throat & gland sore 2 days. Energy low. 4th doze - Swollen, red and warm right arm around shot area for 4 days. Body ached for two days and tired. cut off by CDC
Release 11 — day 35, dose 4
Symptoms: Atrial Fibrillation and high blood pressure. Had to have the an electrical cardioversion. Released a few hours later.
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 | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Cardioversion | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gait inability | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Injection site warmth | · | · | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nerve compression | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release