3DA-26148-66936
4 vaccinations
6 coded responses
37 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 871 / NM
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
-
2021-03-25
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site warmth, Pain in extremity — Feeling: FairFree text: I have a large red patch on my arm around the site of the shot. It itches on occasion and is warmer than the surrounding skin. My arm has also hurt for the past couple of days. I do not know when the redness began but would guess around the same timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
-
2021-04-08
Survey response — day 28, dose 1MedDRA: Nephrolithiasis, Renal pain — Feeling: FairFree text: I am prone to kidney stones and have been having some right kidney pain in the morning and evenings all week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Dose 2 — Moderna
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-05-08
Survey response — day 28, dose 2MedDRA: Renal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Kideny pain probably due to a kidney stoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
- 2021-05-22
- 2021-07-10
- 2021-10-09
-
2021-11-16
Dose 3 — Moderna
-
2022-04-10
Survey response — 12 months, dose 2MedDRA: Lithotripsy, Nephrolithiasis — 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 professionalFree text: Symptoms: Kidney stone · Healthcare visit (other): Surgery to remove stoneMedDRA releases: 2024-11 · check-in free text available
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2022-04-10
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-04-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-17
-
2022-11-11
Dose 4 — Moderna
-
2022-11-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2022-11-16
Survey response — 12 months, dose 3MedDRA: COVID-19, Cough, Nasopharyngitis, Pre-existing disease — 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, Outpatient clinic or urgent care clinic visitFree text: COVID-19, seasonal allergies, regular cold and coughMedDRA releases: 2024-11 · check-in free text available
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2022-11-16
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-17
-
2022-11-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
-
2022-12-23
Survey response — day 42, dose 4MedDRA: Nasal congestion — Feeling: GoodFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2023-02-10
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-10 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-11-11 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — day 14, dose 1
Symptoms: I have a large red patch on my arm around the site of the shot. It itches on occasion and is warmer than the surrounding skin. My arm has also hurt for the past couple of days. I do not know when the redness began but would guess around the same time cut off by CDC
Release 7 — day 28, dose 1
Symptoms: I am prone to kidney stones and have been having some right kidney pain in the morning and evenings all week.
Release 8 — day 28, dose 2
Symptoms: Kideny pain probably due to a kidney stone
Release 11 — 12 months, dose 2
Release 12 — 12 months, dose 3
Symptoms: COVID-19, seasonal allergies, regular cold and cough
Release 12 — day 42, dose 4
Symptoms: Nasal congestion
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 | Lithotripsy | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nephrolithiasis | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Renal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release