3C7-14793-87582
5 vaccinations
5 coded responses
66 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 908 / CA
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
- 2021-03-02
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
-
2021-03-16
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Pruritus — Feeling: GoodFree text: At bedtime on the 8th day after my shot, my arm was itchy. I had done my last symptom check-in earlier in the day and could not change it. I had a 2x4 red area at the vac. site, itchy and red for a week, still slightly pink now, but itch is gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
-
2021-04-20
Survey response — day 21, dose 2MedDRA: Erythema, Pruritus — Feeling: GoodFree text: Mild itching and redness near injection site. Not as severe as what happened a week after my first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-05
- 2021-05-13
- 2021-07-01
- 2021-09-28
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: lightheaded, had to lie down to avoid faintingMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-06
- 2021-11-12
- 2021-11-20
- 2021-11-26
-
2021-12-03
Survey response — day 35, dose 3MedDRA: Injection site pain, Musculoskeletal disorder — Feeling: GoodFree text: I need to tell you that my injection site arm still hurts, and I have trouble pulling clothes on/off over my head. It is not disabling like the first week, but I am reporting it because the pain has persisted for so long.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2022-01-29
- 2022-04-29
-
2022-05-13
Dose 4 — Moderna
- 2022-05-13
-
2022-05-14
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2022-05-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
-
2022-08-12
Survey response — 3 months, dose 4MedDRA: Bursitis, Tendon pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hip bursitis, also tendon painMedDRA releases: 2024-11 · check-in free text available
-
2022-08-12
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-15
-
2022-09-19
Dose 5 — Pfizer-BioNTech
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-12-19
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-13 | Moderna | No |
| 5 | 2022-09-19 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 14, dose 1
Symptoms: At bedtime on the 8th day after my shot, my arm was itchy. I had done my last symptom check-in earlier in the day and could not change it. I had a 2x4 red area at the vac. site, itchy and red for a week, still slightly pink now, but itch is gone. cut off by CDC
Release 7 — day 21, dose 2
Symptoms: Mild itching and redness near injection site. Not as severe as what happened a week after my first shot.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): lightheaded, had to lie down to avoid fainting
Release 10 — day 35, dose 3
Symptoms: I need to tell you that my injection site arm still hurts, and I have trouble pulling clothes on/off over my head. It is not disabling like the first week, but I am reporting it because the pain has persisted for so long.
Release 12 — 3 months, dose 4
Symptoms: Hip bursitis, also tendon pain
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 | Bursitis | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Musculoskeletal disorder | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Tendon pain | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release