2R5-10429-80044
5 vaccinations
8 coded responses
40 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 606 / IL
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Moderna
-
2021-03-08
Registered in v-safe
-
2021-03-09
Survey response — day 14, dose 1MedDRA: Erythema, Headache, Injection site erythema, Injection site pain, Pain in extremity, Skin swelling — Feeling: GoodFree text: Initially, I had a sore arm at the site and a slight headache 24 hours after shot. Then a week later I developed a redness on muscle below shot. Its still puffy there with a red outline spanning about 3 inches around the muscle. 2 weeks after shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-23
Dose 2 — Moderna
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: Fair · Site: Pain · Fever · NauseaFree text: I felt like I was getting hot flashes every hour or two for the last 15 hours or so.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-07
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-05-04
Survey response — day 42, dose 2MedDRA: Myalgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Ive had unexplained muscle aches in my footMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-22
- 2021-09-21
-
2021-11-01
Dose 3 — Moderna
-
2021-11-01
Health check-in — day 0, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-11-03
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness · Fatigue or tirednessAdult check-in
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Anosmia — Feeling: FairFree text: I lost my sense of smell.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Anosmia — Feeling: FairFree text: No sense of smellMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Anosmia, SARS-CoV-2 test positive — 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 visitFree text: Systemic reaction (other): No sense of smell. I got a positive result on Covid test. · Healthcare visit (other): Was tested for Covid and got a POSITIVE resultMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Report sent to call center — days 1–6 daily, dose 3Be 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 · 1 call case(s)
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2021-11-08
Survey response — day 7, dose 3MedDRA: Anosmia — Feeling: Fair · HeadacheFree text: Still cannot smell anything.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-15
- 2022-01-31
-
2022-04-25
Dose 4 — Moderna
-
2022-05-02
Survey response — 6 months, dose 3MedDRA: Rash — Feeling: GoodFree text: I have noticed like a rash or bumps on the sides of my moth and chin. Not sure if that was related to vaccine because it happened 4 days later.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
- 2022-05-24
- 2022-06-06
- 2022-07-25
-
2022-09-13
Dose 5 — Moderna
- 2022-10-07
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-23 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-09-13 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 14, dose 1
Symptoms: Initially, I had a sore arm at the site and a slight headache 24 hours after shot. Then a week later I developed a redness on muscle below shot. Its still puffy there with a red outline spanning about 3 inches around the muscle. 2 weeks after shot
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I felt like I was getting hot flashes every hour or two for the last 15 hours or so.
Release 8 — day 42, dose 2
Symptoms: Ive had unexplained muscle aches in my foot
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I lost my sense of smell.
Systemic reaction (other): No sense of smell
Systemic reaction (other): No sense of smell. I got a positive result on Covid test.
Healthcare visit (other): Was tested for Covid and got a POSITIVE result
Release 10 — day 7, dose 3
Systemic reaction (other): Still cannot smell anything.
Release 11 — 6 months, dose 3
Symptoms: I have noticed like a rash or bumps on the sides of my moth and chin. Not sure if that was related to vaccine because it happened 4 days 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 | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Skin swelling | ✓ | ✓ | ✓ |
| SRO | Anosmia | · | · | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release