39T-17283-90051
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 930 / CA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My neck and shoulder blade same side as vaccine and my foot and toes hurt this morning when I got up. All on left side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-16
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-17
- 2021-01-18
- 2021-01-21
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Emergency care, Feeling hot, Pain in extremity, Peripheral swelling, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Ended up in the ER 8 days after vaccine. Arm very painful and swelling accord. Had a rash that was growing bigger and bigger and very hot to touch. I am on PenicillinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-04
- 2021-02-11
-
2021-02-18
Survey response — day 35, dose 1MedDRA: Palpitations — Feeling: GoodFree text: I have been having heart palpitations so not sure I sould get 2nd vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain, Spinal pain — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: My breast on the side of vaccine is very very painful and my spineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Breast pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Under arm and breast very painful still cannot lift my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-24
-
2021-08-28
Survey response — 6 months, dose 2MedDRA: Palpitations — Feeling: FairFree text: Lots of heart palpitationsMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): My neck and shoulder blade same side as vaccine and my foot and toes hurt this morning when I got up. All on left side.
Release 3 — day 14, dose 1
Symptoms: Ended up in the ER 8 days after vaccine. Arm very painful and swelling accord. Had a rash that was growing bigger and bigger and very hot to touch. I am on Penicillin
Release 4 — day 35, dose 1
Symptoms: I have been having heart palpitations so not sure I sould get 2nd vaccine.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My breast on the side of vaccine is very very painful and my spine
Systemic reaction (other): Under arm and breast very painful still cannot lift my arm
Release 9 — 6 months, dose 2
Symptoms: Lots of heart palpitations
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Spinal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release