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3CR-22430-94035

5 vaccinations 10 coded responses 35 check-ins 10 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
201 / VA
Registered
2021-02-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-02-03
    Registered in v-safe
  3. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease, Therapeutic response unexpected — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Long standing psoriasis suddenly improving!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Fatigue, Pre-existing disease — Feeling: Good
    Free text: I have joint pain and fatigue consistent w Pre existing conditions.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease, Symptom recurrence — Feeling: Good · Joint pains, Fatigue or tiredness
    Free text: The above symptoms are common to my Pre existing conditions and are likely not to be related to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Fatigue is common for me for other reasons.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: These problems are related to other Pre existing disease.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-02-11
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-02-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-02
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-03-04
    Dose 2 — Moderna
  14. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Flatulence — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Gas pain in my chest.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: My symptoms are unlikely to be related to the vaccine it rather to overwork.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-11
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  19. 2021-03-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-25
    Survey response — day 21, dose 2
    MedDRA: Erythema, Pain in extremity, Peripheral swelling, Pre-existing disease — Feeling: Good
    Free text: Last night my fingers turned bright red and became a little swollen, some stabbing pain in my fingers and toes. While this is slightly different than typical for my fibromyalgia, I still rather suspect it is related to that and not the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-03
    Health check-in — 3 months, dose 2
    Feeling: Poor
    Adult check-in
  25. 2021-09-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-26
    Dose 3 — Moderna
  27. 2022-03-04
    Survey response — 12 months, dose 2
    MedDRA: Abdominal discomfort, Diarrhoea, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Upper respiratory infection, followed immediately by mild diarrhea and GI distress. negative Covid home test
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-03-04
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  29. 2022-03-07
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  30. 2022-06-10
    Dose 4 — Pfizer-BioNTech
  31. 2022-09-23
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  32. 2022-09-24
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  33. 2022-09-25
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  34. 2022-09-27
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  35. 2022-09-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  36. 2022-09-30
    Health check-in — day 7, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  37. 2022-10-07
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  38. 2022-10-14
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  39. 2022-10-21
    Survey response — day 28, dose 5
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cough and runny nose
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-10-28
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  41. 2022-11-04
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  42. 2022-12-23
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  43. 2023-03-24
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-04Moderna
32021-11-26Moderna No
42022-06-10Pfizer-BioNTech No
52022-09-23Pfizer-BioNTech Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Long standing psoriasis suddenly improving!

2021-02-04

Systemic reaction (other): I have joint pain and fatigue consistent w Pre existing conditions.

2021-02-05

Systemic reaction (other): The above symptoms are common to my Pre existing conditions and are likely not to be related to the vaccine.

2021-02-06

Systemic reaction (other): Fatigue is common for me for other reasons.

2021-02-07

Systemic reaction (other): These problems are related to other Pre existing disease.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Gas pain in my chest.

2021-03-09

Systemic reaction (other): My symptoms are unlikely to be related to the vaccine it rather to overwork.

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Last night my fingers turned bright red and became a little swollen, some stabbing pain in my fingers and toes. While this is slightly different than typical for my fibromyalgia, I still rather suspect it is related to that and not the vaccine.

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: Upper respiratory infection, followed immediately by mild diarrhea and GI distress. negative Covid home test

Release 12 — day 28, dose 5

2022-10-21

Symptoms: Cough and runny nose

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
SDAbdominal discomfort · · ✓
SDCough · · ✓
SDDiarrhoea · · ✓
SDErythema ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUpper respiratory tract infection · · ✓
SROAdverse reaction ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSymptom recurrence ○ ✓ ○
SROTherapeutic response unexpected ✓ ✓ ✓

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

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