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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

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-01-15
    Registered in v-safe
  3. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  4. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free 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
  5. 2021-01-16
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-01-28
    Survey response — day 14, dose 1
    MedDRA: 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 visit
    Free 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 Penicillin
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-28
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-11
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-18
    Survey response — day 35, dose 1
    MedDRA: Palpitations — Feeling: Good
    Free 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
  14. 2021-02-25
    Dose 2 — Moderna
  15. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: My breast on the side of vaccine is very very painful and my spine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Breast pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Under arm and breast very painful still cannot lift my arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  19. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-24
  27. 2021-08-28
    Survey response — 6 months, dose 2
    MedDRA: Palpitations — Feeling: Fair
    Free text: Lots of heart palpitations
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-25Moderna

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

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

2021-01-28

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

2021-02-18

Symptoms: I have been having heart palpitations so not sure I sould get 2nd vaccine.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): My breast on the side of vaccine is very very painful and my spine

2021-02-28

Systemic reaction (other): Under arm and breast very painful still cannot lift my arm

Release 9 — 6 months, dose 2

2021-08-28

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

FieldPreferred term2021-092023-042024-11
SDEmergency care ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSpinal pain ✓ ✓ ✓

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