3HQ-24677-91206
4 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 809 / CO
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-07
Dose 1 — Moderna
-
2021-03-09
Registered in v-safe
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Peripheral swelling, Pruritus — Feeling: Good · Site: Redness, SwellingFree text: The day after receiving my vaccine I received 1 of a series of allergy shots Ive been getting. Ive had mild reactions to those EXCEPT the allergy shot received the day after the COVID vaccine. My arm was very itchy, red and swollen. It is other arm from COVID shot. Wondering if COVID so soon before may have had impact on allergy shot reaction?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Disturbance in attention, Vision blurred — Feeling: Fair · Be unable to workFree text: Brain fog. Difficulty concentratingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-21
- 2021-03-29
-
2021-04-02
Dose 2 — Moderna
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
-
2021-10-01
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis — Feeling: GoodFree text: ColdMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Dose 3 — Moderna
-
2022-04-04
Survey response — 12 months, dose 2MedDRA: Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Heart palpitationsMedDRA releases: 2024-11 · check-in free text available
-
2022-04-04
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-04-06
Call successfulDoes not wish to fill out VAERS report
-
2022-07-19
Dose 4 — Pfizer-BioNTech
- 2022-07-19
-
2022-07-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend schoolAdult check-in
- 2022-07-21
- 2022-07-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-07-19 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): The day after receiving my vaccine I received 1 of a series of allergy shots Ive been getting. Ive had mild reactions to those EXCEPT the allergy shot received the day after the COVID vaccine. My arm was very itchy, red and swollen. It is other arm from COVID shot. Wondering if COVID so soon before may have had impact on allergy shot reaction?
Systemic reaction (other): Brain fog. Difficulty concentrating
Release 9 — 6 months, dose 2
Symptoms: Cold
Release 11 — 12 months, dose 2
Symptoms: Heart palpitations
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 | Nasopharyngitis | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release