42D-28655-45844
3 vaccinations
8 coded responses
27 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 972 / OR
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Hot flush, Pyrexia — Feeling: Good · Site: Pain · Fever · NauseaFree text: Hot flash/feverish 1 timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-29
- 2021-02-05
- 2021-02-12
-
2021-02-15
Dose 2 — Moderna
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
-
2021-02-22
Survey response — day 7, dose 2MedDRA: Hyperhidrosis — Feeling: Good · FeverFree text: Profuse sweating. On and off at work, but feel fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-08
-
2021-03-15
Survey response — day 28, dose 2MedDRA: Back pain, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Back pain and muscle spasms, prob from working too much and not to do w vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
-
2021-03-30
Survey response — day 42, dose 2MedDRA: Adverse reaction, Hyperhidrosis — Feeling: GoodFree text: More frequent and severe sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-17
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: Poor · Be unable to work, 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: Severe pain in left kneeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-17
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-17
Health check-in — 6 months, dose 2Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Trouble falling sleeping with trouble breathing as I fall asleep. Forest fires and excessive heat have exacerbated. Getting tested fir COVID today after exposed to family who tested positive. Continued trouble w walking and joint paiinAdult check-in · check-in free text available
-
2021-10-03
Dose 3 — ModernaCo-administered: Flu
- 2021-10-24
- 2021-10-31
-
2021-11-09
Survey response — day 35, dose 3MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Knee pain which returned after shots in both knees. Not COVId relatedMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-10
-
2021-11-17
Survey response — day 42, dose 3MedDRA: Arthralgia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Pain in Knees worsening. NOT vaccine relatedMedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-18
-
2022-01-02
Survey response — 3 months, dose 3MedDRA: Dysgeusia, Exposure to SARS-CoV-2, Patient isolation, SARS-CoV-2 test negative — Feeling: FairFree text: Metal taste in my mouth after 2nd hand exposure to positive case of COVID-19. I tested 2x , both negative but continue to have odd taste. No loss of taste or smell. Have isolated since exposure.1MedDRA releases: 2024-11 · check-in free text available
- 2022-04-03
- 2022-10-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-03 | Moderna | Flu |
Call center
3 call center cases
3 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Hot flash/feverish 1 time
Release 4 — day 7, dose 2
Systemic reaction (other): Profuse sweating. On and off at work, but feel fine.
Release 5 — day 28, dose 2
Symptoms: Back pain and muscle spasms, prob from working too much and not to do w vaccine.
Release 6 — day 42, dose 2
Symptoms: More frequent and severe sweats
Release 8 — 3 months, dose 2
Symptoms: Severe pain in left knee
Release 10 — day 35, dose 3
Symptoms: Knee pain which returned after shots in both knees. Not COVId related
Release 10 — day 42, dose 3
Symptoms: Pain in Knees worsening. NOT vaccine related
Release 10 — 3 months, dose 3
Symptoms: Metal taste in my mouth after 2nd hand exposure to positive case of COVID-19. I tested 2x , both negative but continue to have odd taste. No loss of taste or smell. Have isolated since exposure.1
Release 12 — 6 months, dose 2
Symptoms: Trouble falling sleeping with trouble breathing as I fall asleep. Forest fires and excessive heat have exacerbated. Getting tested fir COVID today after exposed to family who tested positive. Continued trouble w walking and joint paiin
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Patient isolation | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release