3CT-17995-33919
4 vaccinations
7 coded responses
46 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 199 / DE
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-01-24
- 2021-01-25
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: GoodFree text: A transient dry cough sporadically this afternoon. It did not continue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-23
Dose 2 — Moderna
-
2021-02-23
Survey response — day 0, dose 2MedDRA: Abdominal discomfort, Flatulence — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Upset stomach, some gasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-10-24
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Injection site pain, Injection site swelling, Myalgia, Pyrexia — Feeling: Good · Site: PainFree text: Day after I had very sore swollen injection site; fever, headache, and some muscle achesMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Narrow transient dull pain in left leg traveling ankle through calfMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Pulse abnormal — Feeling: GoodFree text: Slight transient pulsing along inside of left calfMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-07
-
2021-11-14
Survey response — day 21, dose 3MedDRA: Arthralgia, Fatigue, Gait disturbance — Feeling: FairFree text: Significant fatique, right arm joint pain, a little unsteady walking.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-21
- 2021-11-29
- 2021-12-06
- 2022-01-23
- 2022-04-24
-
2022-05-06
Dose 4 — Moderna
- 2022-05-18
- 2022-05-20
- 2022-05-27
- 2022-06-05
- 2022-06-10
- 2022-06-17
- 2022-08-05
-
2022-11-05
Survey response — 6 months, dose 4MedDRA: Eczema, Electrocardiogram change — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Eczema in ear canals. Changes in EKG.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-07
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): A transient dry cough sporadically this afternoon. It did not continue.
Release 4 — day 0, dose 2
Systemic reaction (other): Upset stomach, some gas
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Day after I had very sore swollen injection site; fever, headache, and some muscle aches
Systemic reaction (other): Narrow transient dull pain in left leg traveling ankle through calf
Systemic reaction (other): Slight transient pulsing along inside of left calf
Release 10 — day 21, dose 3
Symptoms: Significant fatique, right arm joint pain, a little unsteady walking.
Release 12 — 6 months, dose 4
Symptoms: Eczema in ear canals. Changes in EKG.
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 | Arthralgia | · | · | ✓ |
| SD | Eczema | · | · | ✓ |
| SD | Electrocardiogram change | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pulse abnormal | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release