3A6-82454-06360
5 vaccinations
9 coded responses
38 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 442 / OH
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-02-15
Dose 1 — Moderna
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2021-02-16
Registered in v-safe
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Sore arm, but not at injection site (closer to elbow).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Pain in extremity, Self-medication — Feeling: Good · Site: Pain, SwellingFree text: Day #1: Pain at injection and arm above elbow. Arm was very sore. Took Tylenol. (App would not allow be to go back and change response.) Day #2: Arm was very sore. Took Tylenol. Did stretching and OT exercises - they helped!! Took Tylenol. Day #3: Pain was moderate. Water therapy exercises helped! Last Tylenol in a.m. Wont need it again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Arm receiving shot much better than previous days. A bit sore at injection site. No need to take Tylenol. Exercises help.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
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2021-03-01
Survey response — day 14, dose 1MedDRA: Injection site bruising — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bruised arm at injection site (appeared a week after injection). 3/1/21: fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
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2021-03-15
Dose 2 — Moderna
- 2021-03-15
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discomfort — Feeling: Good · Site: PainFree text: Soreness at injection site is minimal unlike 1st shot where my arm was extremely sore for 2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
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2021-03-31
Survey response — day 14, dose 2MedDRA: Bronchitis, Cough, Gastrooesophageal reflux disease, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Acid reflux/sinusitis bronchitis/ coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-05
Survey response — day 21, dose 2MedDRA: Bronchitis, Sinusitis — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Sinus infection / bronchitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-12
- 2021-04-19
- 2021-04-26
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2021-06-14
Survey response — 3 months, dose 2MedDRA: Bronchitis, Dermal cyst, Infection, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sino-bronchitis; infected sebaceous cyst · Healthcare visit (other): Office consultation with PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-14
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-21
- 2021-06-24
- 2021-09-13
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2021-11-22
Dose 3 — Moderna
- 2022-03-16
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2022-05-23
Dose 4 — Moderna
- 2022-05-23
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2022-10-19
Dose 5 — Moderna
- 2022-10-19
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-25
- 2022-10-26
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2022-11-02
Survey response — day 14, dose 5MedDRA: Throat irritation — Feeling: FairFree text: Scratchy throatMedDRA releases: 2024-11 · check-in free text available
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2023-01-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-05-23 | Moderna | No |
| 5 | 2022-10-19 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sore arm, but not at injection site (closer to elbow).
Systemic reaction (other): Day #1: Pain at injection and arm above elbow. Arm was very sore. Took Tylenol. (App would not allow be to go back and change response.) Day #2: Arm was very sore. Took Tylenol. Did stretching and OT exercises - they helped!! Took Tylenol. Day #3: Pain was moderate. Water therapy exercises helped! Last Tylenol in a.m. Wont need it again.
Systemic reaction (other): Arm receiving shot much better than previous days. A bit sore at injection site. No need to take Tylenol. Exercises help.
Release 4 — day 14, dose 1
Symptoms: Bruised arm at injection site (appeared a week after injection). 3/1/21: fatigue.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Soreness at injection site is minimal unlike 1st shot where my arm was extremely sore for 2 days.
Release 6 — day 14, dose 2
Symptoms: Acid reflux/sinusitis bronchitis/ coughing
Release 6 — day 21, dose 2
Symptoms: Sinus infection / bronchitis
Release 9 — 3 months, dose 2
Symptoms: Sino-bronchitis; infected sebaceous cyst
Healthcare visit (other): Office consultation with PCP
Release 12 — day 14, dose 5
Symptoms: 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 | Office visit | ✓ | ✓ | ✓ |
| SD | Bronchitis | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dermal cyst | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Infection | ✓ | ✓ | ✓ |
| SD | Injection site bruising | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release