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3WR-27982-58310

3 vaccinations 9 coded responses 40 check-ins 9 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
974 / OR
Registered
2021-03-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-14
    Registered in v-safe
  2. 2021-03-14
    Dose 1 — Moderna
  3. 2021-03-14
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  6. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-21
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-11
    Dose 2 — Moderna
  14. 2021-04-11
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills
    Adult check-in
  16. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  21. 2021-04-19
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Joint pains, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  22. 2021-04-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-02
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Joint swelling, Peripheral swelling, Rash — Feeling: Good · Be unable to do your normal daily activities
    Free text: Worsening rash on feet and toes. Swollen fingers and ankles/feet. Sore joints in fingers and feet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-17
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Arthritis, Erythema, Joint swelling, Pre-existing disease, Rash, Rash erythematous — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Arthritis flare. Red, swollen, painful joints in feet and hands. Red rash on top of both feet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-23
    Survey response — day 42, dose 2
    MedDRA: Arthritis, Erythema, Joint swelling, Medical counselling, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Arthritis flare. Red, swollen inflamed joints in toes, feet, hands and fingers. · Healthcare visit (other): Discussed symptoms with my doctor's medical assistant/nurse and she reported my symptoms to my rheumatologist. Prescribed 2 weeks prednisone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-23
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-07-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-11-05
    Dose 3 — Moderna
  31. 2021-11-05
    Survey response — day 0, dose 3
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain · Fever
    Free text: Warmth around injection site.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain
    Free text: Warmth around injection site area.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-03
    Survey response — day 28, dose 3
    MedDRA: Tinnitus — Feeling: Good
    Free text: New tinnitus symptom.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2021-12-10
    Survey response — day 35, dose 3
    MedDRA: Neuropathy peripheral, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Increased peripheral neuropathy. I do have an appointment with a specialist on Monday. · Healthcare visit (other): Scheduled an appointment.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2021-12-10
    Report sent to call center — day 35, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  43. 2021-12-13
  44. 2021-12-17
    Survey response — day 42, dose 3
    MedDRA: Inflammation — Feeling: Good
    Free text: Inflammation in hands and feet. Uncertain if related to cold temperature and arthritis. New symptom for me. Have appointment with rheumatologist in a couple of weeks on January 4, 2022.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  46. 2022-05-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  47. 2022-11-05
    Survey response — 12 months, dose 3
    MedDRA: Chest discomfort, Chest pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Chest pain/discomfort.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-11-05
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  49. 2022-11-07
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  50. 2022-11-07
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  51. 2022-11-07
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-14Moderna
22021-04-11Moderna
32021-11-05Moderna No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 8 — day 21, dose 2

2021-05-02

Symptoms: Worsening rash on feet and toes. Swollen fingers and ankles/feet. Sore joints in fingers and feet.

Release 8 — day 35, dose 2

2021-05-17

Symptoms: Arthritis flare. Red, swollen, painful joints in feet and hands. Red rash on top of both feet.

Release 8 — day 42, dose 2

2021-05-23

Symptoms: Arthritis flare. Red, swollen inflamed joints in toes, feet, hands and fingers.
Healthcare visit (other): Discussed symptoms with my doctor's medical assistant/nurse and she reported my symptoms to my rheumatologist. Prescribed 2 weeks prednisone.

Release 10 — day 0, dose 3

2021-11-05

Systemic reaction (other): Warmth around injection site.

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Warmth around injection site area.

Release 10 — day 28, dose 3

2021-12-03

Symptoms: New tinnitus symptom.

Release 10 — day 35, dose 3

2021-12-10

Symptoms: Increased peripheral neuropathy. I do have an appointment with a specialist on Monday.
Healthcare visit (other): Scheduled an appointment.

Release 10 — day 42, dose 3

2021-12-17

Symptoms: Inflammation in hands and feet. Uncertain if related to cold temperature and arthritis. New symptom for me. Have appointment with rheumatologist in a couple of weeks on January 4, 2022.

Release 12 — 12 months, dose 3

2022-11-05

Symptoms: Chest pain/discomfort.

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
HCVOUnevaluable event · · ✓
SDArthralgia ✓ ✓ ✓
SDArthritis ✓ ✓ ✓
SDChest discomfort · · ✓
SDChest pain · · ✓
SDErythema ✓ ✓ ✓
SDInflammation · · ✓
SDJoint swelling ✓ ✓ ✓
SDNeuropathy peripheral · · ✓
SDPeripheral swelling ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash erythematous · · ✓
SDTinnitus · · ✓
SROInjection site warmth · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release