33M-20408-91443
2 vaccinations
5 coded responses
12 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 976 / OR
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
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2021-03-25
Registered in v-safe
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2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Eyelid irritation, Fatigue, Head discomfort, Headache — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: Headache fluctuates between headache and feeling pressure in my head. My eye lids feel heavy. Like I'm so tired it's hard to keep my eyes opened.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Joint pain in my wrist is moderate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
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2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2021-03-31
Health check-in — day 7, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-04-07
Survey response — day 14, dose 1MedDRA: Arthralgia, Joint noise, Ligament sprain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Joint pain in my wrist (the arm I received my vaccine). It started on the 3rd day post vaccination. I was rubbing it and the was a loud pop. And a jolt of pain. I went to urgent care and PA said nothing was broken. Called it a sprain. · Healthcare visit (other): Urgent careMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-22
Survey response — day 28, dose 1MedDRA: Head discomfort, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sharp pains in my head on the left back side mostly. A couple times it's also been on the left front and side. They last less than a minute. I have pressure and/or a full headache. Also I'm still having issues with my left wrist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
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2021-05-05
Dose 2 — Moderna
- 2021-05-05
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2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Head discomfort, Headache — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Headaches are more pressure and intermittent sharp pains in different parts of my head.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-03-25
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2022-03-31
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-05-05 | Moderna |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Headache fluctuates between headache and feeling pressure in my head. My eye lids feel heavy. Like I'm so tired it's hard to keep my eyes opened.
Systemic reaction (other): Joint pain in my wrist is moderate.
Release 7 — day 14, dose 1
Symptoms: Joint pain in my wrist (the arm I received my vaccine). It started on the 3rd day post vaccination. I was rubbing it and the was a loud pop. And a jolt of pain. I went to urgent care and PA said nothing was broken. Called it a sprain.
Healthcare visit (other): Urgent care
Release 7 — day 28, dose 1
Symptoms: Sharp pains in my head on the left back side mostly. A couple times it's also been on the left front and side. They last less than a minute. I have pressure and/or a full headache. Also I'm still having issues with my left wrist.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Headaches are more pressure and intermittent sharp pains in different parts of my head.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Joint noise | ✓ | ✓ | ✓ |
| SD | Ligament sprain | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Eyelid irritation | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release