3H9-93669-23078
4 vaccinations
5 coded responses
21 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 347 / FL
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
- 2021-01-28
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-01-30
-
2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tirednessFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
-
2021-02-17
Survey response — day 21, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: For the past 4-5 days I have been more achy than usual. I have fibromyalgia so I am used to feeling achy but it seems its more. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-12
-
2021-04-28
Survey response — 3 months, dose 2MedDRA: Sciatica — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: My sciatic nerve is causing a lot of pain I have never had this issue before although I have had problems with my lower back for a few years.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-28
-
2021-10-25
Dose 3 — Moderna
-
2022-01-27
Survey response — 12 months, dose 2MedDRA: Arthralgia, Gait disturbance, Office visit — Feeling: Poor · 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: My left hip and knee have become so painful that I need to use a walker. · Healthcare visit (other): Visits to my orthopaedic drMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
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)
- 2022-01-28
-
2022-04-07
Dose 4 — Moderna
-
2022-04-26
Survey response — day 14, dose 4MedDRA: Hip arthroplasty, Office visit, Osteonecrosis, Post procedural complication, Procedural haemorrhage — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: This might not be a health condition but I got a hip replacement 3/10/22 due to loss of blood supply to that hip causing my hip joint to die and disappear. · Healthcare visit (other): Appointment with an orthopedic surgeonMedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Report sent to call center — day 14, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-27
- 2022-04-28
- 2022-05-03
-
2022-05-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-05
- 2022-05-12
- 2022-05-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog
Release 4 — day 21, dose 2
Symptoms: For the past 4-5 days I have been more achy than usual. I have fibromyalgia so I am used to feeling achy but it seems its more. No fever.
Release 8 — 3 months, dose 2
Symptoms: My sciatic nerve is causing a lot of pain I have never had this issue before although I have had problems with my lower back for a few years.
Release 11 — 12 months, dose 2
Symptoms: My left hip and knee have become so painful that I need to use a walker.
Healthcare visit (other): Visits to my orthopaedic dr
Release 11 — day 14, dose 4
Symptoms: This might not be a health condition but I got a hip replacement 3/10/22 due to loss of blood supply to that hip causing my hip joint to die and disappear.
Healthcare visit (other): Appointment with an orthopedic surgeon
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Hip arthroplasty | · | · | ✓ |
| SD | Osteonecrosis | · | · | ✓ |
| SD | Post procedural complication | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Procedural haemorrhage | · | · | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release