39R-31225-82418
5 vaccinations
7 coded responses
60 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 945 / CA
- 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
- 2021-01-30
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Muscular weakness — Feeling: Fair · Chills, Fatigue or tirednessFree text: Chills about 9 hours after vaccination, didnt last long. Legs a little weak today.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
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Limb discomfort — Feeling: Good · Site: Redness · Muscle or body achesFree text: Discomfort, not pain, when raising the vaccinated arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Good · Site: Redness · Muscle or body achesFree text: Raising vaccinated arm still uncomfortable but than raise it further than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: RednessFree text: Full arm movement without discomfort. Skin slightly pink around injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
- 2021-09-01
-
2021-10-24
Dose 3 — Moderna
- 2021-10-24
-
2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-04-05
Dose 4 — Moderna
-
2022-04-06
Survey response — days 1–6 daily, dose 4MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Fair · Fatigue or tirednessFree text: Injection site sore, hard to raise arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-07
- 2022-04-08
- 2022-04-09
- 2022-04-10
- 2022-04-11
- 2022-04-12
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-07-05
-
2022-09-11
Dose 5 — Moderna
- 2022-09-26
- 2022-10-02
- 2022-10-09
-
2022-10-16
Survey response — day 35, dose 5MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Have a really bad cold. Home Covid test was negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-23
-
2022-12-11
Survey response — 3 months, dose 5MedDRA: SARS-CoV-2 test negative, Upper respiratory tract infection — 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 consultationFree text: Upper respiratory tract infection, needed antibiotics. Not Covid.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-11
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-13
- 2022-12-15
-
2022-12-15
Call successfulNot applicable - Accidental Reporting
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
| 5 | 2022-09-11 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Chills about 9 hours after vaccination, didnt last long. Legs a little weak today.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Discomfort, not pain, when raising the vaccinated arm.
Systemic reaction (other): Raising vaccinated arm still uncomfortable but than raise it further than yesterday
Systemic reaction (other): Full arm movement without discomfort. Skin slightly pink around injection site.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Injection site sore, hard to raise arm.
Release 12 — day 35, dose 5
Symptoms: Have a really bad cold. Home Covid test was negative.
Release 12 — 3 months, dose 5
Symptoms: Upper respiratory tract infection, needed antibiotics. Not Covid.
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 | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release