3YD-25377-50227
5 vaccinations
6 coded responses
46 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 863 / AZ
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
-
2021-01-30
Dose 1 — Moderna
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-01
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
-
2021-02-26
Dose 2 — Moderna
-
2021-02-26
Survey response — day 0, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: I have osteoarthritis but its not worse than usual today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-04
- 2021-03-07
- 2021-03-13
- 2021-03-20
- 2021-03-26
- 2021-04-02
- 2021-04-10
- 2021-05-28
-
2021-08-28
Survey response — 6 months, dose 2MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Had a sinus infection, not related to CovidMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-28
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-26
Dose 3 — Moderna
-
2021-10-26
Survey response — day 0, dose 3MedDRA: Migraine, Trigeminal neuralgia — Feeling: Good · Fever · Be unable to do your normal daily activitiesFree text: I had a strong reaction to a Pneumovax 23 vaccine 2 plus weeks ago. Lots of systemic symptoms. Had to take a reducing daily dose of prednisone for 6 days to break out of it. Triggered ongoing migraines, trigeminal nerve pain, etc. Fine now.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-10-28
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-13
- 2022-01-25
-
2022-02-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-03-29
Dose 4 — Moderna
- 2022-04-18
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-06-28
-
2022-09-08
Dose 5 — ModernaCo-administered: Flu
-
2022-09-27
Survey response — day 14, dose 5MedDRA: Abdominal discomfort, Arthralgia, Decreased appetite, Myalgia, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: After getting my Covid-19 bivalent booster and high dose flu shot at the same time, I had some muscle and joint aches for a few days. I also didn't eat or drink enough and threw up several hours after the 2 shots, but my stomach settled down later.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-29
- 2022-10-06
-
2022-12-09
Survey response — 3 months, dose 5MedDRA: Gastroenteritis viral, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a stomach virus over Thanksgiving, negative Covid-19 testsMedDRA releases: 2024-11 · check-in free text available
-
2023-03-09
Survey response — 6 months, dose 5MedDRA: Cyst, Infection, Office visit, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-03-09
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2023-03-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-03-29 | Moderna | No |
| 5 | 2022-09-08 | Moderna | Flu |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): I have osteoarthritis but its not worse than usual today.
Release 9 — 6 months, dose 2
Symptoms: Had a sinus infection, not related to Covid
Release 10 — day 0, dose 3
Systemic reaction (other): I had a strong reaction to a Pneumovax 23 vaccine 2 plus weeks ago. Lots of systemic symptoms. Had to take a reducing daily dose of prednisone for 6 days to break out of it. Triggered ongoing migraines, trigeminal nerve pain, etc. Fine now.
Release 12 — day 14, dose 5
Symptoms: After getting my Covid-19 bivalent booster and high dose flu shot at the same time, I had some muscle and joint aches for a few days. I also didn't eat or drink enough and threw up several hours after the 2 shots, but my stomach settled down later. cut off by CDC
Release 12 — 3 months, dose 5
Symptoms: I had a stomach virus over Thanksgiving, negative Covid-19 tests
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 | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cyst | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Migraine | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Trigeminal neuralgia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release