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3LB-33823-02432

6 vaccinations 13 coded responses 67 check-ins 14 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
857 / AZ
Registered
2021-02-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Dose 1 — Moderna
  2. 2021-02-14
    Registered in v-safe
  3. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Muscle tightness — Feeling: Good
    Free text: I got shot #1 on 02/12/2021 @ 4:35 pm. That evening, my arm muscle felt tight. Next morning it was sore when I reached up. By next day that was gone. Arm felt normal. That was only reaction I have felt so far.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-12
    Dose 2 — Moderna
  12. 2021-03-12
    Health check-in — day 0, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  13. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Tinnitus — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Lower back pain, whooshing pounding sound in my ears (I have Tinitis)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Fatigue or tiredness, Abdominal pain
    Free text: All residual symptoms are much improved
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-23
    Dose 3 — Moderna
  28. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Body temperature increased, Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: I had several symptoms 24-48 hrs following booster injection but they have subsided as of today: fever 99.9, joint pain, tiredness, arm sore at injection site w raised red 2 inch area and now itchy
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  30. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Contusion, Fall — Feeling: Good · Joint pains
    Free text: My knees hurt I think due to a fall over 2 weeks ago but when I got my booster shot, my knees hurt a lot more along w other joints. Most of my joints feel back to normal now except my knees that were quite bruised from the fall.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia — Feeling: Good · Joint pains
    Free text: Knees still hurt
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-30
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-22
    Survey response — 3 months, dose 3
    MedDRA: Fatigue, Muscle spasms, Nasal congestion, Rhinorrhoea — Feeling: Good
    Free text: On Jan 12, 2022, I woke up w nasal congestion, runny nose, an upper back spasm, bit more tired than usual as the day progressedunable to get an at-home COVID test. I felt better in 3 days. Very fast recovery for me! Colds last 2 weeks usually.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-04-22
    Dose 4 — Moderna
  40. 2022-04-22
    Survey response — day 0, dose 4
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: I have a lower backache for 5 days b4 getting this vaccine and spring pollen allergies
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-04-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lower back ache (had b4 the vaccination)
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-04-24
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pre-existing disease, Unevaluable event — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My spring allergy symptoms are still active but my vaccine related symptoms are much improved
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-04-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  44. 2022-04-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-04-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-04-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-04-29
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-05-06
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-05-13
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-05-20
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-05-27
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-06-03
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-07-22
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-09-24
    Dose 5 — Moderna
  55. 2022-09-26
    Survey response — days 1–6 daily, dose 5
    MedDRA: Dry mouth, Pyrexia — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Fever resolved overnight, dry mouth
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-09-27
    Survey response — days 1–6 daily, dose 5
    MedDRA: Dry mouth — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Dry mouth reported yesterday is improving
    MedDRA releases: 2024-11 · check-in free text available
  57. 2022-09-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  58. 2022-09-29
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  59. 2022-09-30
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  60. 2022-10-01
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  61. 2022-10-08
    Survey response — day 14, dose 5
    MedDRA: Arthralgia, Myalgia — Feeling: Good
    Free text: Joints and muscles feel achy
    MedDRA releases: 2024-11 · check-in free text available
  62. 2022-10-15
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  63. 2022-10-22
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  64. 2022-10-29
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  65. 2022-11-05
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  66. 2022-12-24
    Health check-in — 3 months, dose 5
    Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I had cataract surgery · Healthcare visit (other): Dr office then Surgi-Center
    Adult check-in · check-in free text available
  67. 2022-12-24
    Call case (no matching report) — Successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  68. 2022-12-28
  69. 2022-12-28
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  70. 2023-03-25
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in
  71. 2023-04-28
    Dose 6 — Moderna
  72. 2023-05-08
    Health check-in — day 7, dose 6
    Feeling: Good · Site: Itching · None
    Adult check-in
  73. 2023-05-12
    Health check-in — day 14, dose 6
    Feeling: Good
    Adult check-in
  74. 2023-05-19
    Health check-in — day 21, dose 6
    Feeling: Good
    Adult check-in
  75. 2023-05-26
    Health check-in — day 28, dose 6
    Feeling: Good
    Adult check-in
  76. 2023-06-02
    Health check-in — day 35, dose 6
    Feeling: Good
    Adult check-in
  77. 2023-06-09
    Health check-in — day 42, dose 6
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-12Moderna
32021-10-23Moderna No
42022-04-22Moderna No
52022-09-24Moderna No
62023-04-28Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): I got shot #1 on 02/12/2021 @ 4:35 pm. That evening, my arm muscle felt tight. Next morning it was sore when I reached up. By next day that was gone. Arm felt normal. That was only reaction I have felt so far.

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Lower back pain, whooshing pounding sound in my ears (I have Tinitis)

2021-03-14

Systemic reaction (other): All residual symptoms are much improved

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): I had several symptoms 24-48 hrs following booster injection but they have subsided as of today: fever 99.9, joint pain, tiredness, arm sore at injection site w raised red 2 inch area and now itchy

2021-10-28

Systemic reaction (other): My knees hurt I think due to a fall over 2 weeks ago but when I got my booster shot, my knees hurt a lot more along w other joints. Most of my joints feel back to normal now except my knees that were quite bruised from the fall.

2021-10-29

Systemic reaction (other): Knees still hurt

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: On Jan 12, 2022, I woke up w nasal congestion, runny nose, an upper back spasm, bit more tired than usual as the day progressedunable to get an at-home COVID test. I felt better in 3 days. Very fast recovery for me! Colds last 2 weeks usually.

Release 11 — day 0, dose 4

2022-04-22

Systemic reaction (other): I have a lower backache for 5 days b4 getting this vaccine and spring pollen allergies

Release 11 — days 1–6 daily, dose 4

2022-04-23

Systemic reaction (other): Lower back ache (had b4 the vaccination)

2022-04-24

Systemic reaction (other): My spring allergy symptoms are still active but my vaccine related symptoms are much improved

Release 12 — days 1–6 daily, dose 5

2022-09-26

Systemic reaction (other): Fever resolved overnight, dry mouth

2022-09-27

Systemic reaction (other): Dry mouth reported yesterday is improving

Release 12 — day 14, dose 5

2022-10-08

Symptoms: Joints and muscles feel achy

Release 12 — 3 months, dose 5

2022-12-24

Symptoms: I had cataract surgery
Healthcare visit (other): Dr office then Surgi-Center

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
SDArthralgia · · ✓
SDFatigue · · ✓
SDMuscle spasms · · ✓
SDMyalgia · · ✓
SDNasal congestion · · ✓
SDRhinorrhoea · · ✓
SROAdverse reaction ✓ ✓ ✓
SROArthralgia · · ✓
SROBack pain ✓ ✓ ✓
SROBody temperature increased · · ✓
SROContusion · · ✓
SRODry mouth · · ✓
SROFall · · ✓
SROFatigue · · ✓
SROInjection site erythema · · ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus · · ✓
SROInjection site swelling · · ✓
SROMuscle tightness ✓ ✓ ✓
SROPre-existing disease · · ✓
SROPyrexia · · ✓
SROTinnitus ✓ ✓ ✓
SROUnevaluable event · · ✓

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