436-73766-23010
5 vaccinations
4 coded responses
41 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 430 / OH
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Moderna
-
2021-02-26
Registered in v-safe
- 2021-02-26
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: I have Secondary Progressive MS. Dx in 1988 as RRMS. Might be interesting to note for data collection. I am an RN.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
-
2021-03-11
Survey response — day 14, dose 1MedDRA: Bursitis, Erythema, Medical counselling, Swelling, Tenderness — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Subacromial bursitis Evaluated by physician. Redness swelling pain on palpation and movingTook Aleve and resolved after 5-6 daysFelt it was related to placement of injection too high · Healthcare visit (other): Home visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
-
2021-03-25
Dose 2 — Moderna
- 2021-03-25
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Multiple sclerosis, Muscle tightness, Muscle twitching, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Muscle quivering Increase in MS symptoms numbness tightness spasticity movementMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Symptoms peaked at 26-38 hrs and continuing to improve.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-06-24
-
2021-09-03
Dose 3 — Moderna
- 2021-09-23
- 2021-12-03
-
2021-12-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-04
-
2022-04-01
Dose 4 — Moderna
- 2022-04-14
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
-
2022-09-30
Dose 5 — Moderna
- 2022-09-30
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2021-09-03 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-30 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I have Secondary Progressive MS. Dx in 1988 as RRMS. Might be interesting to note for data collection. I am an RN.
Release 5 — day 14, dose 1
Symptoms: Subacromial bursitis Evaluated by physician. Redness swelling pain on palpation and movingTook Aleve and resolved after 5-6 daysFelt it was related to placement of injection too high
Healthcare visit (other): Home visit
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle quivering Increase in MS symptoms numbness tightness spasticity movement
Systemic reaction (other): Symptoms peaked at 26-38 hrs and continuing to improve.
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 | Bursitis | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Multiple sclerosis | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release