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
-
2021-03-16
Dose 1 — Moderna
-
2021-03-23
Registered in v-safe
- 2021-04-02
-
2021-04-06
Survey response — day 21, dose 1MedDRA: Paraesthesia — Feeling: GoodFree 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
-
2021-04-13
Dose 2 — Moderna
-
2021-04-13
Survey response — day 0, dose 2MedDRA: Muscle twitching — Feeling: Good · Site: PainFree text: Just Some mild muscle twitchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2021-04-16
-
2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Tingling fingers and extremities.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-27
- 2021-05-05
-
2021-05-11
Survey response — day 28, dose 2MedDRA: Injection site discomfort, Neck pain, Pain in extremity — Feeling: GoodFree 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
- 2021-05-18
- 2021-05-25
-
2021-07-13
Survey response — 3 months, dose 2MedDRA: Dry mouth, Office visit, Oral pain, Pre-existing disease, Rhinorrhoea, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree 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 examMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-13
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
- 2021-10-12
-
2021-12-18
Dose 3 — ModernaCo-administered: Other
-
2022-04-14
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-27
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-07-14
- 2022-10-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-12-18 | Moderna | Other |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 21, dose 1
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
Systemic reaction (other): Just Some mild muscle twitching
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Tingling fingers and extremities.
Release 8 — day 28, dose 2
Symptoms: Minor sensations at the injection site and twinges in my legs feet and neck.
Release 9 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Dry mouth | ✓ | ✓ | ✓ |
| SD | Injection site discomfort | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Oral pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release