2T9-59867-49687
3 vaccinations
6 coded responses
40 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 604 / IL
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
-
2021-01-30
Dose 1 — Moderna
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2021-01-30
Survey response — day 0, dose 1MedDRA: Feeling cold — Feeling: Fair · Muscle or body achesFree text: No chills but just feeling cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Injection site pain began approximately 29 hours after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-07
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2021-02-13
Survey response — day 14, dose 1MedDRA: Injection site induration, Injection site mass, Injection site pruritus, Injection site rash — Feeling: GoodFree text: On February 7 injection site started itching. Rash around injection site, approximately 3 inches around site. Hard lump under skin at injection site. All symptoms gone by evening next day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
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2021-02-27
Dose 2 — Moderna
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2021-02-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
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2021-04-10
Survey response — day 42, dose 2MedDRA: Injection site pruritus — Feeling: GoodFree text: Still having occasional itchiness at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
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2021-08-29
Survey response — 6 months, dose 2MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion, Self-medication — Feeling: GoodFree text: Sore throat, chest congestion, fatigue for around 5 days. Cleared on its own . Ibuprofen only for 1 day.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-28
Dose 3 — Moderna
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
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2022-04-30
Survey response — 6 months, dose 3MedDRA: Joint dislocation — Feeling: Good · 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: Dislocated elbow.MedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-05-03
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): No chills but just feeling cold.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site pain began approximately 29 hours after injection.
Release 4 — day 14, dose 1
Symptoms: On February 7 injection site started itching. Rash around injection site, approximately 3 inches around site. Hard lump under skin at injection site. All symptoms gone by evening next day.
Release 7 — day 42, dose 2
Symptoms: Still having occasional itchiness at injection site.
Release 9 — 6 months, dose 2
Symptoms: Sore throat, chest congestion, fatigue for around 5 days. Cleared on its own . Ibuprofen only for 1 day.
Release 11 — 6 months, dose 3
Symptoms: Dislocated elbow.
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 |
|---|---|---|---|---|
| SD | Fatigue | ✓ | · | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Joint dislocation | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release