3EX-15982-33155
4 vaccinations
7 coded responses
40 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 062 / CT
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-05
- 2021-01-07
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-13
- 2021-01-18
- 2021-01-26
-
2021-02-01
Survey response — day 28, dose 1MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea after taking Amoxicillin for 3 days, following tooth extractionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Dose 2 — Moderna
- 2021-02-08
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Survey response — day 42, dose 2MedDRA: Chills, Fatigue, Headache, Injection site pain, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: My left arm really burned at site of my vaccinations and I was also tired and had minor chills and headaches. It happened 5-8 days after being exposed to someone who then tested positive for COVID. Got COVID PCR test on day 9 and was negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Survey response — 3 months, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Arm where both vaccines given still hurts some days periodically.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-04
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-26
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-16
Dose 4 — Moderna
-
2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Swelling and pain to left AxillaMedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: Good · Site: PainFree text: Swollen left armpitMedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: PainFree text: Achey snd swelling to L arm pitMedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-25
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-07-16
-
2022-10-15
Survey response — 6 months, dose 4MedDRA: Cough, Fatigue, Oropharyngeal pain, Pain, Respiratory tract congestion — 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 consultationFree text: Congestion, cough, sore throat, achey, tiredMedDRA releases: 2024-11 · check-in free text available
-
2022-10-15
Report sent to call center — 6 months, dose 4Be 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 · 1 call case(s)
- 2022-10-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-16 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — day 28, dose 1
Symptoms: Diarrhea after taking Amoxicillin for 3 days, following tooth extraction
Release 5 — day 42, dose 2
Symptoms: My left arm really burned at site of my vaccinations and I was also tired and had minor chills and headaches. It happened 5-8 days after being exposed to someone who then tested positive for COVID. Got COVID PCR test on day 9 and was negative.
Release 8 — 3 months, dose 2
Symptoms: Arm where both vaccines given still hurts some days periodically.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swelling and pain to left Axilla
Systemic reaction (other): Swollen left armpit
Systemic reaction (other): Achey snd swelling to L arm pit
Release 12 — 6 months, dose 4
Symptoms: Congestion, cough, sore throat, achey, tired
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 | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release