3VG-21229-83480
5 vaccinations
5 coded responses
34 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 323 / FL
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
-
2021-01-19
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: No, I have just noticed some soreness at the injection site in the last few hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
- 2021-01-26
- 2021-02-03
- 2021-02-10
-
2021-02-16
Dose 2 — Moderna
-
2021-02-23
Survey response — day 7, dose 2MedDRA: Arthralgia, Myalgia — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Achy muscles and joints for first 24 hours after vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-24
- 2021-03-30
- 2021-05-18
- 2021-08-17
-
2021-11-02
Dose 3 — Moderna
- 2021-11-04
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Pain, Pyrexia — Feeling: Good · ChillsFree text: The first night after receiving the vaccine I had chills and light fever plus body aches. Was fine by the 24 hour mark.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2022-02-01
-
2022-04-23
Dose 4 — Moderna
- 2022-05-03
-
2022-09-23
Dose 5 — Moderna
-
2022-10-01
Survey response — day 7, dose 5MedDRA: Pain in extremity — Feeling: GoodFree text: Slight ache in armMedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
-
2022-10-21
Survey response — day 28, dose 5MedDRA: Back disorder, Back injury, Influenza like illness, Office visit, Respiratory symptom — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I hurt my back this week and now have flu like symptoms. · Healthcare visit (other): Chiropractor for back. None yet for respiratory symptoms. They started yesterday.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Report sent to call center — day 28, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-10-24
Call successfulCompleted over the phone
- 2022-10-30
- 2022-11-04
- 2022-12-23
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-04-23 | Moderna | No |
| 5 | 2022-09-23 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): No, I have just noticed some soreness at the injection site in the last few hours.
Release 4 — day 7, dose 2
Systemic reaction (other): Achy muscles and joints for first 24 hours after vaccination.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The first night after receiving the vaccine I had chills and light fever plus body aches. Was fine by the 24 hour mark.
Release 12 — day 7, dose 5
Systemic reaction (other): Slight ache in arm
Release 12 — day 28, dose 5
Symptoms: I hurt my back this week and now have flu like symptoms.
Healthcare visit (other): Chiropractor for back. None yet for respiratory symptoms. They started yesterday.
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 | Back disorder | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Respiratory symptom | · | · | ✓ |
| SD | Back injury | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release