3ND-64279-97471
4 vaccinations
6 coded responses
53 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 601 / IL
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 1 — Moderna
- 2021-04-23
-
2021-04-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: The itching is more of an inconvenience that mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
-
2021-05-21
Dose 2 — Moderna
- 2021-05-21
-
2021-05-22
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discomfort, Injection site pruritus — Feeling: Fair · Site: ItchingFree text: The injection site itches and feels like someone is drilling into it. Its not no much painful as annoyingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
- 2021-08-20
-
2021-11-17
Dose 3 — Moderna
- 2021-11-17
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Limb discomfort, Pain in extremity, Self-medication — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: My arm initially felt sore and heavy when I woke up, and with some Bayer back and body it wasn't all that bad.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain, Injection site reaction, Pain — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: The injection site/area more or less has a dull, constant acheMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
-
2021-12-29
Survey response — day 42, dose 3MedDRA: Back pain, Pleurisy, Pre-existing disease — Feeling: GoodFree text: Pleurisy. A pain in my back and just now I'm starting to feel better. I smoke, and have had it before several times in my life-most likely not related.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-16
-
2022-05-19
Survey response — 6 months, dose 3MedDRA: Accident at work, Hip fracture, Joint dislocation, Pelvic fracture, Rib fracture, Spinal fracture — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I was involved in an accident at work, in which I suffered spinal fractures, hip fractures, rib fractures, a shattered pelvis and dislocated knee.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-19
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-05-20
-
2022-05-20
Call successfulNot applicable - Accidental Reporting
-
2022-10-04
Dose 4 — Moderna
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna | |
| 2 | 2021-05-21 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-10-04 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): The itching is more of an inconvenience that mild
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): The injection site itches and feels like someone is drilling into it. Its not no much painful as annoying
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My arm initially felt sore and heavy when I woke up, and with some Bayer back and body it wasn't all that bad.
Systemic reaction (other): The injection site/area more or less has a dull, constant ache
Release 10 — day 42, dose 3
Symptoms: Pleurisy. A pain in my back and just now I'm starting to feel better. I smoke, and have had it before several times in my life-most likely not related.
Release 11 — 6 months, dose 3
Symptoms: I was involved in an accident at work, in which I suffered spinal fractures, hip fractures, rib fractures, a shattered pelvis and dislocated knee.
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 | Accident at work | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Hip fracture | · | · | ✓ |
| SD | Joint dislocation | · | · | ✓ |
| SD | Pelvic fracture | · | · | ✓ |
| SD | Pleurisy | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rib fracture | · | · | ✓ |
| SD | Spinal fracture | · | · | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Limb discomfort | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release