2NF-61417-10124
5 vaccinations
8 coded responses
66 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 805 / CO
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Moderna
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-04-26
Dose 2 — Moderna
-
2021-04-26
Survey response — day 0, dose 2MedDRA: Brain fog — Feeling: Good · Site: PainFree text: my head feels a little foggy but not a headache and not effecting my though processMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-28
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Diarrhea, Abdominal painFree text: just last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
-
2021-05-10
Survey response — day 14, dose 2MedDRA: Headache, Joint swelling — Feeling: Good · Be unable to do your normal daily activitiesFree text: Occasional headaches and my ankle swelled and moved tendons but not sure if that was vaccine related or freak accident. Started last Saturday so 9 days ago. I have no recollection of trauma hence not sure what caused the inflammationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-24
- 2021-06-02
- 2021-06-10
- 2021-07-26
- 2021-10-27
-
2022-01-09
Dose 3 — Moderna
- 2022-01-09
- 2022-01-10
- 2022-01-11
- 2022-01-12
- 2022-01-13
- 2022-01-14
- 2022-01-15
- 2022-01-16
- 2022-01-23
-
2022-01-30
Survey response — day 21, dose 3MedDRA: Joint swelling, Medical counselling, Peripheral swelling, Unevaluable event — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Both ankles, feet and calves swelled last Sunday evening · Healthcare visit (other): EmailMedDRA releases: 2024-11 · check-in free text available
-
2022-01-30
Report sent to call center — day 21, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-06
-
2022-02-13
Survey response — day 35, dose 3MedDRA: Joint swelling, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Legs ankles and feet welled below kneeMedDRA releases: 2024-11 · check-in free text available
- 2022-02-20
- 2022-03-31
-
2022-04-10
Survey response — 3 months, dose 3MedDRA: Arthralgia, Colitis ulcerative, Nerve compression, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Ulcerative colitis flare. Pinched nerve/shoulder painMedDRA releases: 2024-11 · check-in free text available
-
2022-04-10
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-04-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-07-10
-
2022-08-04
Dose 4 — Moderna
-
2022-08-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-08-06
- 2022-08-07
- 2022-08-08
- 2022-08-09
- 2022-08-10
- 2022-08-11
- 2022-08-19
-
2022-08-25
Survey response — day 21, dose 4MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-09-01
-
2022-09-08
Survey response — day 35, dose 4MedDRA: Joint swelling, Swelling — Feeling: Good · Be unable to do your normal daily activitiesFree text: Swelling in lower body/jointsMedDRA releases: 2024-11 · check-in free text available
- 2022-09-17
- 2022-11-05
-
2022-11-10
Dose 5 — Moderna
- 2022-11-11
- 2022-11-12
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-19
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2022-12-15
- 2022-12-23
- 2023-02-09
- 2023-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2022-01-09 | Moderna | No |
| 4 | 2022-08-04 | Moderna | No |
| 5 | 2022-11-10 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): my head feels a little foggy but not a headache and not effecting my though process
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): just last night
Release 8 — day 14, dose 2
Symptoms: Occasional headaches and my ankle swelled and moved tendons but not sure if that was vaccine related or freak accident. Started last Saturday so 9 days ago. I have no recollection of trauma hence not sure what caused the inflammation
Release 11 — day 21, dose 3
Symptoms: Both ankles, feet and calves swelled last Sunday evening
Healthcare visit (other): Email
Release 11 — day 35, dose 3
Symptoms: Legs ankles and feet welled below knee
Release 11 — 3 months, dose 3
Symptoms: Ulcerative colitis flare. Pinched nerve/shoulder pain
Release 12 — day 21, dose 4
Symptoms: Fatigue
Release 12 — day 35, dose 4
Symptoms: Swelling in lower body/joints
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 | Medical counselling | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Colitis ulcerative | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Nerve compression | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release