3CA-26578-89992
4 vaccinations
6 coded responses
45 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 850 / AZ
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
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2021-03-18
Dose 1 — Moderna
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2021-03-18
Survey response — day 0, dose 1MedDRA: Fatigue, Injection site swelling, Injection site warmth — Feeling: Good · Site: Swelling · Fatigue or tirednessFree text: Injection site mildly swollen and slightly warmer than the rest of my body. I think the fatigue and tiredness was already there before I got the shot but it wouldn't let me put any more comments without checking one of the symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
-
2021-04-01
Survey response — day 14, dose 1MedDRA: Tenderness — Feeling: GoodFree text: Well I'm not sure if it's relevant, but the arm that I got the shot in seemed to be tender again today, and I don't remember injuring it or bumping it into anything. Other than that no other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-04-15
Dose 2 — Moderna
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2021-04-15
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-19
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My eyes hurt behind, like you sometimes get with the flu, not severe but moderately painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
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2021-05-28
Survey response — day 42, dose 2MedDRA: Fatigue, Malaise — Feeling: Good · Be unable to do your normal daily activitiesFree text: I'm not sure. I'm in between doctors right now so I can't see a doctor unless it's urgent. I've been getting these very mild fevers, around 99°. I feel lousy and tired. Just general symptoms of feeling like something's off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-16
Survey response — 3 months, dose 2MedDRA: Hypoaesthesia, Myalgia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Left leg numb down side, and slight pulling/pain sensation deeper in the muscle. · Healthcare visit (other): Didn't visit yet, but plan on this weekend.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-16
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
- 2021-10-14
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2021-11-30
Dose 3 — Moderna
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2021-12-02
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain upper — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tirednessFree text: Painful stomachMedDRA releases: 2024-11 · check-in free text available
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2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-12-05
- 2021-12-06
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2021-12-07
Health check-in — day 7, dose 3Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-01-04
- 2022-01-13
- 2022-03-01
- 2022-05-31
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2022-06-11
Dose 4 — Moderna
- 2022-06-21
- 2022-06-25
- 2022-07-02
- 2022-07-09
- 2022-07-16
- 2022-07-23
- 2022-09-10
- 2022-12-10
- 2023-06-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-11-30 | Moderna | No |
| 4 | 2022-06-11 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Injection site mildly swollen and slightly warmer than the rest of my body. I think the fatigue and tiredness was already there before I got the shot but it wouldn't let me put any more comments without checking one of the symptoms.
Release 6 — day 14, dose 1
Symptoms: Well I'm not sure if it's relevant, but the arm that I got the shot in seemed to be tender again today, and I don't remember injuring it or bumping it into anything. Other than that no other symptoms.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My eyes hurt behind, like you sometimes get with the flu, not severe but moderately painful.
Release 8 — day 42, dose 2
Symptoms: I'm not sure. I'm in between doctors right now so I can't see a doctor unless it's urgent. I've been getting these very mild fevers, around 99°. I feel lousy and tired. Just general symptoms of feeling like something's off.
Release 9 — 3 months, dose 2
Symptoms: Left leg numb down side, and slight pulling/pain sensation deeper in the muscle.
Healthcare visit (other): Didn't visit yet, but plan on this weekend.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Painful stomach
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release