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
-
2021-03-15
Dose 1 — Moderna
-
2021-03-28
Registered in v-safe
- 2021-03-28
- 2021-03-29
- 2021-04-07
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Soar throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Fever · Headache, Nausea, Diarrhea · Be unable to workFree text: I have RA so my joints always hurtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · HeadacheFree text: I Have severe RA so I do have joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: The area where I got my shot is swollen warm really itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree 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 doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Survey response — day 7, dose 2MedDRA: 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 visitFree 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 IVMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-26
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Both hips hurt real badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Survey response — day 21, dose 2MedDRA: Asthenia, Diarrhoea, Hot flush, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Loose bowls hot flashes low energy weak musclesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-17
- 2021-05-24
-
2021-10-13
Survey response — 6 months, dose 2MedDRA: Asthenia, Fatigue, Muscle disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Weak run down loose muscleMedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Soar throat
Systemic reaction (other): I have RA so my joints always hurt
Systemic reaction (other): I Have severe RA so I do have joint pain
Systemic reaction (other): The area where I got my shot is swollen warm really itchy
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
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
Symptoms: Both hips hurt real bad
Release 8 — day 21, dose 2
Symptoms: Loose bowls hot flashes low energy weak muscles
Release 10 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Muscle disorder | · | · | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rheumatoid arthritis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release