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2VQ-28793-19446

3 vaccinations 6 coded responses 18 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
947 / CA
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-02-09
    Registered in v-safe
  3. 2021-02-09
    Dose 2 — Moderna
  4. 2021-02-09
    Survey response — day 0, dose 2
    MedDRA: Injection site pain — Feeling: Fair · Chills
    Free text: Injection site is tender only when area pressed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Discomfort — Feeling: Fair · Site: Pain · Fever
    Free text: Hard to accurately assess discomfort as I am 5 days post surgery for bilateral mastectomies and have been taking Tylenol every 4-6 hours since surgery
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  7. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling hot — Feeling: Fair · Fever
    Free text: Felt warm (but not to touch and I did not have a fever)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Myalgia, Pre-existing disease — Feeling: Good
    Free text: Its difficult to correctly assess side effects because I had bilateral mastectomies 4 days before my second vaccine shot... so fatigue or muscle aches may be hidden due to surgery side effects. In general Id say I had very mild effects from vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-16
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Erythema, Peripheral swelling, Tenderness — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: One month after second Moderna vaccine, I was given Pneumovax23 booster shot in the same arm. I had intense swelling and redness, from shoulder to elbow, with pain and tenderness. It resolved in 4 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-16
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-03-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-19
    Dose 3 — Moderna
  21. 2021-11-19
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-02-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-03-02
  24. 2022-08-19
    Survey response — 12 months, dose 3
    MedDRA: Laboratory test abnormal, Pyrexia, Rhinorrhoea — Feeling: Good
    Free text: Runny nose, low grade fever ? tested positive
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna
32021-08-19Moderna No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 0, dose 2

2021-02-09

Systemic reaction (other): Injection site is tender only when area pressed

Release 3 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Hard to accurately assess discomfort as I am 5 days post surgery for bilateral mastectomies and have been taking Tylenol every 4-6 hours since surgery

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Felt warm (but not to touch and I did not have a fever)

2021-02-13

Systemic reaction (other): Its difficult to correctly assess side effects because I had bilateral mastectomies 4 days before my second vaccine shot... so fatigue or muscle aches may be hidden due to surgery side effects. In general Id say I had very mild effects from vaccine

Release 5 — day 35, dose 2

2021-03-16

Symptoms: One month after second Moderna vaccine, I was given Pneumovax23 booster shot in the same arm. I had intense swelling and redness, from shoulder to elbow, with pain and tenderness. It resolved in 4 days.

Release 12 — 12 months, dose 3

2022-08-19

Symptoms: Runny nose, low grade fever ? tested positive

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
SDArthralgia ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDLaboratory test abnormal · · ✓
SDPeripheral swelling ✓ ✓ ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDTenderness ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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