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2P8-13084-98399

4 vaccinations 11 coded responses 32 check-ins 10 free-text entries 3 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
452 / OH
Registered
2021-03-16
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Moderna
  3. 2021-03-16
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Free text: The muscle ache is at the injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-13
    Dose 2 — Moderna
  10. 2021-04-13
    Survey response — day 0, dose 2
    MedDRA: Dizziness, Fatigue, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness
    Free text: Its not really fatigue its kind of a stuffy head like I feel a little just woozy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site discomfort, Injection site pain, Joint range of motion decreased — Feeling: Good
    Free text: Injection site is sore and stiff with restricted range of motion in that arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-21
    Survey response — day 7, dose 2
    MedDRA: Headache, Stress — Feeling: Good · Headache
    Free text: Yesterday April 20 I had a bad headache but I really believe it was job stressors and stressors caused by taking care of personal business that caused my headache anyway just reporting that
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-25
    Survey response — day 42, dose 2
    MedDRA: Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Issues with Elevated blood pressure I dont think this has anything to do with the vaccine historically Ive been on two blood pressure meds I just fillets and control job stress things of that nature as followed up with my MD and have new blood · Healthcare visit (other): In person
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-25
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-07-13
    Survey response — 3 months, dose 2
    MedDRA: Hypertension, Joint swelling, Oedema peripheral, Office visit, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Not believed to be related to Covid its uncontrolled hypertension which is not a new condition but Adema swelling in feet and ankles is PCP has put me on new blood pressure meds · Healthcare visit (other): PCP office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-07-13
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-07-21
  24. 2021-10-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-30
    Dose 3 — Moderna
  26. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Sore arm around injection site limit raising arm some
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site pain — Feeling: Good · Muscle or body aches
    Free text: At the injection siteArm is still sore from 1030 injection
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-11-06
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-20
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-01-04
  35. 2022-01-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-05-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-08-04
    Dose 4 — Moderna
  38. 2022-08-08
    Survey response — days 1–6 daily, dose 4
    MedDRA: Injection site pain — Feeling: Good
    Free text: Had a sore arm at the injection site day one two and by day three it had subsided
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-08-19
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-09-08
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2023-02-04
    Survey response — 6 months, dose 4
    MedDRA: Blood pressure increased, Computerised tomogram abnormal, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  42. 2023-02-04
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  43. 2023-02-06
  44. 2023-02-06
  45. 2023-02-06

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-13Moderna
32021-10-30Moderna No
42022-08-04Moderna No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): The muscle ache is at the injection site

2021-03-19

Systemic reaction (other): No

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): Its not really fatigue its kind of a stuffy head like I feel a little just woozy

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Injection site is sore and stiff with restricted range of motion in that arm

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Yesterday April 20 I had a bad headache but I really believe it was job stressors and stressors caused by taking care of personal business that caused my headache anyway just reporting that

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Issues with Elevated blood pressure I dont think this has anything to do with the vaccine historically Ive been on two blood pressure meds I just fillets and control job stress things of that nature as followed up with my MD and have new blood
Healthcare visit (other): In person

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Not believed to be related to Covid its uncontrolled hypertension which is not a new condition but Adema swelling in feet and ankles is PCP has put me on new blood pressure meds
Healthcare visit (other): PCP office visit

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Sore arm around injection site limit raising arm some

2021-11-01

Systemic reaction (other): At the injection siteArm is still sore from 1030 injection

Release 12 — days 1–6 daily, dose 4

2022-08-08

Systemic reaction (other): Had a sore arm at the injection site day one two and by day three it had subsided

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDBlood pressure increased · · ✓
SDComputerised tomogram abnormal · · ✓
SDHypertension ✓ ✓ ✓
SDJoint swelling ✓ ✓ ✓
SDOedema peripheral ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjected limb mobility decreased · · ✓
SROInjection site discomfort ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROJoint range of motion decreased ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROStress ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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