3MG-17599-09936
5 vaccinations
8 coded responses
62 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 029 / RI
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Vaginal haemorrhage — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to workFree text: SpottingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-08
-
2021-10-29
Dose 3 — Pfizer-BioNTech
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Feeling hot, Swelling, Tenderness — Feeling: GoodFree text: Swelling, possible enlarged lymph node, and warmth near left collarbone to shoulder. Same side as vax. Tender but not painfulMedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Chest wall mass, Erythema, Neck mass, Skin warm, Swelling — Feeling: Good · DiarrheaFree text: Swelling, warm to touch, redness and a lump upper left chest area. Vax was on left side. Lump is near collar bone but redness, warmth, and puffiness extend below that.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 35, dose 3MedDRA: Headache, Sinus congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sinus congestion and headacheMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
-
2022-01-28
Survey response — 3 months, dose 3MedDRA: Arthralgia, Diarrhoea, Headache — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Headaches, joint aches, diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Dose 4 — Moderna
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-10
-
2022-05-17
Survey response — day 28, dose 4MedDRA: Migraine — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: MigraineMedDRA releases: 2024-11 · check-in free text available
- 2022-05-24
-
2022-05-31
Survey response — day 42, dose 4MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: More headaches that are different from my typical. Sharp pain in top and side of my headMedDRA releases: 2024-11 · check-in free text available
- 2022-07-19
-
2022-09-15
Dose 5 — ModernaCo-administered: Flu
- 2022-09-15
- 2022-09-16
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
-
2022-10-20
Survey response — day 35, dose 5MedDRA: Ear pain, Headache, Sinus pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinus and ear pain, headachesMedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Report sent to call center — day 35, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-19 | Moderna | No |
| 5 | 2022-09-15 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Spotting
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling, possible enlarged lymph node, and warmth near left collarbone to shoulder. Same side as vax. Tender but not painful
Systemic reaction (other): Swelling, warm to touch, redness and a lump upper left chest area. Vax was on left side. Lump is near collar bone but redness, warmth, and puffiness extend below that.
Release 10 — day 35, dose 3
Symptoms: Sinus congestion and headache
Release 11 — 3 months, dose 3
Symptoms: Headaches, joint aches, diarrhea
Release 11 — day 28, dose 4
Symptoms: Migraine
Release 11 — day 42, dose 4
Symptoms: More headaches that are different from my typical. Sharp pain in top and side of my head
Release 12 — day 35, dose 5
Symptoms: Sinus and ear pain, headaches
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 | Arthralgia | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SRO | Chest wall mass | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Neck mass | · | · | ✓ |
| SRO | Skin warm | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release