3TJ-10769-73597
4 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 402 / KY
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-01-08
Registered in v-safe
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
-
2021-01-18
Health check-in — day 7, dose 1Feeling: Poor · Site: Pain · Joint pains · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-18
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-26
Survey response — day 14, dose 1MedDRA: Mobility decreased, Muscular weakness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still cannot raise arm completely. Sore/weak arm that got injectedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Dose 2 — Moderna
- 2021-07-07
-
2021-11-03
Dose 3 — Moderna
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: High resting heart rate (130s)MedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-24
- 2021-12-01
- 2021-12-10
-
2021-12-15
Survey response — day 42, dose 3MedDRA: Lower respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chest cold.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-02
- 2022-05-04
-
2022-09-11
Dose 4 — Moderna
- 2022-10-18
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | No |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-09-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-18 | priority 2/3 |
Free text
Release 2 — day 14, dose 1
Symptoms: Still cannot raise arm completely. Sore/weak arm that got injected
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): High resting heart rate (130s)
Release 10 — day 42, dose 3
Symptoms: Chest cold.
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 | Lower respiratory tract infection | · | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release