3CA-19464-57169
4 vaccinations
7 coded responses
27 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 239 / VA
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-22
Registered in v-safe
-
2021-02-22
Dose 1 — Moderna
- 2021-02-22
- 2021-03-17
-
2021-03-22
Dose 2 — Moderna
- 2021-03-27
- 2021-03-28
- 2021-04-29
- 2021-05-03
- 2021-06-26
-
2021-09-20
Survey response — 6 months, dose 2MedDRA: Pneumonia, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Pneumonia 7/1/21. Something I struggle with. I am immune comprised. I have immune globulin treatments every other week. I do it myself. I also have FibromyalgiaMedDRA releases: 2024-11 · check-in free text available
-
2021-09-20
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-23
-
2021-09-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-29
Dose 3 — ModernaCo-administered: yes
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Pain, Pruritus, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: FYI, I started itching day before yesterday. Did not notice swelling until last night. Painful last night and today. Booster given 10/29/2021.MedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: No reaction on previous exposure to drug, Peripheral swelling, Pre-existing disease — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I have fibromyalgia which cause the symptoms I checked. The swelling in my arm is down some and does not itch today. I took the flu shot the same time I got my booster. I have never reacted to the flu shot before.MedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — day 7, dose 3MedDRA: Pre-existing disease — Feeling: Good · Site: SwellingFree text: I have fibromyalgia so I have symptoms everydayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-21
- 2021-12-09
- 2022-01-28
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2022-05-19
Dose 4 — Moderna
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2022-05-19
Survey response — day 0, dose 4MedDRA: Pain — Feeling: Good · FeverFree text: Was hurting really bad day afterMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · None · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-26
-
2022-06-02
Survey response — day 14, dose 4MedDRA: Sinusitis — Feeling: FairFree text: SinusitisMedDRA releases: 2024-11 · check-in free text available
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2022-06-09
Survey response — day 21, dose 4MedDRA: Adverse reaction, Office visit, Rhinorrhoea, Sinusitis — Feeling: FairFree text: Treated for sinus infection, however, still have runny nose and don't feel 100%. Finished medication. Has nothing to do with COVID i don't think. Have only been to doctors appointments.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Moderna | |
| 2 | 2021-03-22 | Moderna | |
| 3 | 2021-10-29 | Moderna | Yes |
| 4 | 2022-05-19 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — 6 months, dose 2
Symptoms: Pneumonia 7/1/21. Something I struggle with. I am immune comprised. I have immune globulin treatments every other week. I do it myself. I also have Fibromyalgia
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): FYI, I started itching day before yesterday. Did not notice swelling until last night. Painful last night and today. Booster given 10/29/2021.
Systemic reaction (other): I have fibromyalgia which cause the symptoms I checked. The swelling in my arm is down some and does not itch today. I took the flu shot the same time I got my booster. I have never reacted to the flu shot before.
Release 10 — day 7, dose 3
Systemic reaction (other): I have fibromyalgia so I have symptoms everyday
Release 11 — day 0, dose 4
Systemic reaction (other): Was hurting really bad day after
Release 11 — day 14, dose 4
Symptoms: Sinusitis
Release 12 — day 21, dose 4
Symptoms: Treated for sinus infection, however, still have runny nose and don't feel 100%. Finished medication. Has nothing to do with COVID i don't think. Have only been to doctors appointments.
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 | Adverse reaction | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | No reaction on previous exposure to drug | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release