3LR-32824-98945
5 vaccinations
7 coded responses
52 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 990 / WA
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
-
2021-01-18
Survey response — day 14, dose 1MedDRA: Injection site pain, Injection site pruritus, Injection site swelling, Self-medication — Feeling: GoodFree text: 1 week post vx, swelling, itching and minor pain in the area of the shot. Resolved with ibuprofen and benedryl for two nights. Also only occurred in the evening those two nights.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-02-01
-
2021-02-08
Dose 2 — Moderna
-
2021-02-08
Survey response — day 0, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: PainFree text: Mild fuzziness in my headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Mildly fuzzy headed feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
-
2021-08-09
Survey response — 6 months, dose 2MedDRA: Arthralgia, Joint swelling, Rheumatoid factor increased, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have an elevated rheumatoid factor and intermittent joint pain and swelling. I don't yet know if it's COVID related. Appointments with rheumatologists locally are very difficult to arrange. I scheduled in June for a November 1 appointment. · Healthcare visit (other): Scheduled appointment w/specialistMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-09
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-23
Dose 3 — Moderna
- 2021-11-24
-
2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Sjogren's syndrome — Feeling: Good · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: I am diagnosed with Sjogren's syndrome. Was experiencing some of this before the shot.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-27
Survey response — days 1–6 daily, dose 3MedDRA: Sjogren's syndrome — Feeling: Good · Joint pains, Muscle or body achesFree text: These symptoms are not vaccine related. I have sjogren's syndrome.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2021-11-30
-
2021-12-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-01-04
-
2022-02-22
Survey response — 3 months, dose 3MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend schoolFree text: I tested positive and was mildly symptomatic with COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-04-04
Dose 4 — Moderna
- 2022-04-15
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-17
- 2022-07-04
- 2022-10-03
-
2022-10-16
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-31
- 2022-11-06
- 2022-11-13
- 2022-11-20
- 2022-11-27
- 2023-01-16
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
| 5 | 2022-10-16 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 2 — day 14, dose 1
Symptoms: 1 week post vx, swelling, itching and minor pain in the area of the shot. Resolved with ibuprofen and benedryl for two nights. Also only occurred in the evening those two nights.
Release 3 — day 0, dose 2
Systemic reaction (other): Mild fuzziness in my head
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Mildly fuzzy headed feeling
Release 9 — 6 months, dose 2
Symptoms: I have an elevated rheumatoid factor and intermittent joint pain and swelling. I don't yet know if it's COVID related. Appointments with rheumatologists locally are very difficult to arrange. I scheduled in June for a November 1 appointment.
Healthcare visit (other): Scheduled appointment w/specialist
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I am diagnosed with Sjogren's syndrome. Was experiencing some of this before the shot.
Systemic reaction (other): These symptoms are not vaccine related. I have sjogren's syndrome.
Release 11 — 3 months, dose 3
Symptoms: I tested positive and was mildly symptomatic with COVID
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 | Arthralgia | ✓ | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Rheumatoid factor increased | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Sjogren's syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release