3ZU-10198-16319
5 vaccinations
12 coded responses
66 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 223 / VA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
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2021-01-22
Dose 1 — Moderna
- 2021-01-22
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: Just a little tenderness in arm at injection site, nothing unexpectedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
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2021-02-19
Dose 2 — Moderna
- 2021-02-19
- 2021-02-20
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Just soreness at the injection site; nothing I am concerned about.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Injection site pain, Insomnia — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Just soreness at injection site. Tired but did not sleep well due to soreness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-08-20
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2021-10-27
Dose 3 — Pfizer-BioNTechCo-administered: Do not remember
- 2021-10-27
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: NOTE: I did NOT have any other vaccine administered w/ my booster. I don't understand why i got earlier notice. Please correct.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tirednessAdult check-in
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: No reaction on previous exposure to drug, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: I am and the arm is improving but this reaction has been a surprise in comparison to no noticeable reaction to the Moderna doses. I did try to exercise but the arm was too sore to be moving it around alot so I had to stop yesterday and today.MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Myalgia — Feeling: Good · Site: Pain, RednessFree text: Finally feel human today. Still some muscle soreness but much improved.MedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort — Feeling: Good · Site: PainFree text: Still sore after day 6 which is surprising. Not pain but not gone.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-27
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2022-06-10
Dose 4 — Moderna
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2022-06-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2022-06-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
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2022-06-13
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesFree text: ImprovingMedDRA releases: 2024-11 · check-in free text available
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2022-06-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesAdult check-in
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2022-06-15
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Very mild soreness at injection site; should be ok tomorrowMedDRA releases: 2024-11 · check-in free text available
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2022-06-16
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: GoodFree text: Back to 'pre injection status'MedDRA releases: 2024-11 · check-in free text available
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
- 2022-07-15
- 2022-07-22
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2022-09-09
Survey response — 3 months, dose 4MedDRA: Headache, Quarantine, Respiratory tract congestion, Sneezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Initially headache, sneezing & congestion. Improving. Tested negative 9/7/22. Still some congestion. Quarantined 9 days.MedDRA releases: 2024-11 · check-in free text available
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2022-09-09
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-09-12
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2022-09-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-12-09
Survey response — 6 months, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Present Cold on antibioticsMedDRA releases: 2024-11 · check-in free text available
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2022-12-09
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-12
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2023-04-28
Dose 5 — Moderna
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2023-04-29
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2023-04-30
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2023-05-01
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2023-05-02
- 2023-05-03
- 2023-05-04
- 2023-05-05
- 2023-05-13
- 2023-05-19
- 2023-05-26
- 2023-06-02
- 2023-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-27 | Pfizer-BioNTech | Do not remember |
| 4 | 2022-06-10 | Moderna | No |
| 5 | 2023-04-28 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Just a little tenderness in arm at injection site, nothing unexpected
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Just soreness at the injection site; nothing I am concerned about.
Systemic reaction (other): Just soreness at injection site. Tired but did not sleep well due to soreness.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): NOTE: I did NOT have any other vaccine administered w/ my booster. I don't understand why i got earlier notice. Please correct.
Systemic reaction (other): I am and the arm is improving but this reaction has been a surprise in comparison to no noticeable reaction to the Moderna doses. I did try to exercise but the arm was too sore to be moving it around alot so I had to stop yesterday and today.
Systemic reaction (other): Finally feel human today. Still some muscle soreness but much improved.
Systemic reaction (other): Still sore after day 6 which is surprising. Not pain but not gone.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Improving
Systemic reaction (other): Very mild soreness at injection site; should be ok tomorrow
Systemic reaction (other): Back to 'pre injection status'
Release 12 — 3 months, dose 4
Symptoms: Initially headache, sneezing & congestion. Improving. Tested negative 9/7/22. Still some congestion. Quarantined 9 days.
Release 12 — 6 months, dose 4
Symptoms: Present Cold on antibiotics
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 | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | No reaction on previous exposure to drug | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release