337-11809-65714
5 vaccinations
6 coded responses
38 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 553 / MN
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-06
- 2021-02-08
- 2021-02-09
- 2021-02-11
-
2021-02-18
Survey response — day 14, dose 1MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: FairFree text: Sore joints and muscles. Could be unrelated. Tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-03-13
- 2021-03-18
- 2021-03-26
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-04
- 2021-09-02
-
2021-11-05
Dose 3 — Moderna
- 2022-03-06
-
2022-04-01
Dose 4 — Moderna
-
2022-04-18
Survey response — day 14, dose 4MedDRA: Chest discomfort, Cough, Dyspnoea, Oropharyngeal pain, Pre-existing disease — Feeling: GoodFree text: Probably winter alergies: cough, shortness of breath, chest tightness, sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
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2022-04-29
Survey response — day 28, dose 4MedDRA: Cough, Nasopharyngitis, Pre-existing disease, Respiratory tract congestion — Feeling: GoodFree text: Coughing, congestion, probably allergies or common cold.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-13
- 2022-07-01
-
2022-09-29
Dose 5 — Moderna
- 2022-09-30
-
2022-10-13
Survey response — day 14, dose 5MedDRA: Arthralgia, Back pain, Dizziness, Fatigue, Myalgia, Nausea, Neck pain, Pain, Physiotherapy, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Fatigue, light headedness, muscle and joint pain, some nausea, but nothing that lasted too long except the muscle and joint pain. I had a prior neck injury which I was already receiving PT for, but the pain seemed to get worse after vaccination · Healthcare visit (other): Just PT and muscle manipulation for the neck and back pain, but I had a prior neck injury.MedDRA releases: 2024-11 · check-in free text available
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2022-10-13
Report sent to call center — day 14, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
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2022-12-29
Survey response — 3 months, dose 5MedDRA: Cough, Productive cough, Throat irritation — Feeling: FairFree text: Raspy cough Phlegm Scratchy throatMedDRA releases: 2024-11 · check-in free text available
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2023-03-31
Survey response — 6 months, dose 5MedDRA: Fatigue, SARS-CoV-2 test positive, Upper respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-29 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 14, dose 1
Symptoms: Sore joints and muscles. Could be unrelated. Tired.
Release 11 — day 14, dose 4
Symptoms: Probably winter alergies: cough, shortness of breath, chest tightness, sore throat
Release 11 — day 28, dose 4
Symptoms: Coughing, congestion, probably allergies or common cold.
Release 12 — day 14, dose 5
Symptoms: Fatigue, light headedness, muscle and joint pain, some nausea, but nothing that lasted too long except the muscle and joint pain. I had a prior neck injury which I was already receiving PT for, but the pain seemed to get worse after vaccination
Healthcare visit (other): Just PT and muscle manipulation for the neck and back pain, but I had a prior neck injury.
Release 12 — 3 months, dose 5
Symptoms: Raspy cough Phlegm Scratchy throat
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 | Back pain | · | · | ✓ |
| HCVO | Neck pain | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| HCVO | Pre-existing disease | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Upper respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release