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42D-17814-64228

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
920 / CA
Registered
2021-03-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Dose 1 — Moderna
  2. 2021-03-28
    Registered in v-safe
  3. 2021-03-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-12
    Dose 2 — Moderna
  7. 2021-04-12
    Health check-in — day 0, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  8. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Soar throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Fever · Headache, Nausea, Diarrhea · Be unable to work
    Free text: I have RA so my joints always hurt
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Headache
    Free text: I Have severe RA so I do have joint pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, Itching
    Free text: The area where I got my shot is swollen warm really itchy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: My second injection was 6 day ago yesterday I had a small rash today it growing it is 9x6 do I need to be seen by a doctor? I have tried Benadryl itch creams and ice. But it grew an inch from noon till 3:00pm. Do I need to see a doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-19
    Survey response — day 7, dose 2
    MedDRA: Feeling hot, Medical counselling, Office visit, Peripheral swelling, Pruritus — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Systemic reaction (other): Had to see Dr. the area above my elbow is all swollen hot horrible itching. I have been put on antibiotics. · Healthcare visit (other): Dr. (b)(6) said if not better in 2 day they might give antibiotics through IV
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-19
    Report sent to call center — day 7, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-04-26
    Survey response — day 14, dose 2
    MedDRA: Arthralgia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Both hips hurt real bad
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-03
    Survey response — day 21, dose 2
    MedDRA: Asthenia, Diarrhoea, Hot flush, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Loose bowls hot flashes low energy weak muscles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-10
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-05-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-13
    Survey response — 6 months, dose 2
    MedDRA: Asthenia, Fatigue, Muscle disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Weak run down loose muscle
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-04-01
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna
22021-04-12Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Soar throat

2021-04-14

Systemic reaction (other): I have RA so my joints always hurt

2021-04-16

Systemic reaction (other): I Have severe RA so I do have joint pain

2021-04-17

Systemic reaction (other): The area where I got my shot is swollen warm really itchy

2021-04-18

Systemic reaction (other): My second injection was 6 day ago yesterday I had a small rash today it growing it is 9x6 do I need to be seen by a doctor? I have tried Benadryl itch creams and ice. But it grew an inch from noon till 3:00pm. Do I need to see a doctor

Release 7 — day 7, dose 2

2021-04-19

Systemic reaction (other): Had to see Dr. the area above my elbow is all swollen hot horrible itching. I have been put on antibiotics.
Healthcare visit (other): Dr. (b)(6) said if not better in 2 day they might give antibiotics through IV
redacted (b)(6)

Release 8 — day 14, dose 2

2021-04-26

Symptoms: Both hips hurt real bad

Release 8 — day 21, dose 2

2021-05-03

Symptoms: Loose bowls hot flashes low energy weak muscles

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Weak run down loose muscle

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 ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue · · ✓
SDHot flush ✓ ✓ ✓
SDMuscle disorder · · ✓
SDMuscular weakness ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORheumatoid arthritis ✓ ✓ ✓

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