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3JL-29103-33051

4 vaccinations 5 coded responses 24 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
857 / AZ
Registered
2021-03-23
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Dose 1 — Moderna
  2. 2021-03-23
    Registered in v-safe
  3. 2021-04-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-06
    Survey response — day 21, dose 1
    MedDRA: Paraesthesia — Feeling: Good
    Free text: Tingling in several of my ligaments, not sure if me feeling warm is just (b)(6) weather or a symptom.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-13
    Dose 2 — Moderna
  6. 2021-04-13
    Survey response — day 0, dose 2
    MedDRA: Muscle twitching — Feeling: Good · Site: Pain
    Free text: Just Some mild muscle twitching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · Fatigue or tiredness
    Adult check-in
  8. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paraesthesia — Feeling: Good · Site: Itching · Fatigue or tiredness
    Free text: Tingling fingers and extremities.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-20
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-04-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-11
    Survey response — day 28, dose 2
    MedDRA: Injection site discomfort, Neck pain, Pain in extremity — Feeling: Good
    Free text: Minor sensations at the injection site and twinges in my legs feet and neck.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-13
    Survey response — 3 months, dose 2
    MedDRA: Dry mouth, Office visit, Oral pain, Pre-existing disease, Rhinorrhoea, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: An episode of dry mouth and constant runny nose, then roof of mouth sore but has all subsided.I map always fatigued, and my doctor just now has gotten my BP under control. There are a few others but I cant remember right now. · Healthcare visit (other): Scheduled exam
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-07-13
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-07-22
  19. 2021-10-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-12-18
    Dose 3 — Moderna
    Co-administered: Other
  21. 2022-04-14
    Dose 4 — Pfizer-BioNTech
  22. 2022-04-15
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-04-27
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  24. 2022-04-28
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-05-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-05-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-19
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-05-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-07-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-10-13
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2023-04-14
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-13Moderna
32021-12-18Moderna Other
42022-04-14Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Tingling in several of my ligaments, not sure if me feeling warm is just (b)(6) weather or a symptom.
redacted (b)(6)

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): Just Some mild muscle twitching

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Tingling fingers and extremities.

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Minor sensations at the injection site and twinges in my legs feet and neck.

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: An episode of dry mouth and constant runny nose, then roof of mouth sore but has all subsided.I map always fatigued, and my doctor just now has gotten my BP under control. There are a few others but I cant remember right now.
Healthcare visit (other): Scheduled exam

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDDry mouth ✓ ✓ ✓
SDInjection site discomfort ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDOral pain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SROMuscle twitching ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release