43A-17618-64205
4 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 430 / OH
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Dose 1 — Moderna
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2021-03-19
Dose 2 — Moderna
-
2021-03-21
Registered in v-safe
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Dyspnoea, Fatigue, Headache, Injection site pain, Loss of personal independence in daily activities, Pain in extremity, Self-medication — Feeling: Good · Site: Pain, Redness, Itching · Headache, Joint painsFree text: Had vaccine on 19th. Tired and pain in arm that night. The 20th just got progressively worse felt like I had pneumonia. Almost went to er. Used generic otc flu Thera-flu. Sunday the 21 felt a lot better. Still headache and pain on shot sight and joints but breathing was a lot better very tired. Today the 22nd. Symptoms listed above. Still taking pain killer but able to function as a homemaker again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Joint stiffness, Self-medication — Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Fatigue or tirednessFree text: Getting better put joints still stiff and low grade headache I treat with Tylenol. Still tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia, Pain — Feeling: Fair · Site: Pain, Itching · Joint pains, Fatigue or tirednessFree text: I dont know if its connected but on the side I received the vaccine when I use my pectoral muscle it has a dull pain when I try to reach behind me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
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2021-06-18
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Office visit, Wheezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have had a problem occurring about 4 weeks ago with wheezing and shortness of breath. I went to my MD and she sent me to a cardiologist. They ran 4 good test a CT and a PET a stress test and a look at the heart sonogram. I had a little calcificatio · Healthcare visit (other): MD / CardiologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-17
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2021-11-15
Dose 3 — Moderna
- 2022-03-19
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2022-04-04
Dose 4 — Pfizer-BioNTech
- 2022-04-29
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-07-04
- 2022-10-05
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-04-04 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy
Systemic reaction (other): Had vaccine on 19th. Tired and pain in arm that night. The 20th just got progressively worse felt like I had pneumonia. Almost went to er. Used generic otc flu Thera-flu. Sunday the 21 felt a lot better. Still headache and pain on shot sight and joints but breathing was a lot better very tired. Today the 22nd. Symptoms listed above. Still taking pain killer but able to function as a homemaker again.
Systemic reaction (other): Getting better put joints still stiff and low grade headache I treat with Tylenol. Still tired
Systemic reaction (other): I dont know if its connected but on the side I received the vaccine when I use my pectoral muscle it has a dull pain when I try to reach behind me.
Release 9 — 3 months, dose 2
Symptoms: I have had a problem occurring about 4 weeks ago with wheezing and shortness of breath. I went to my MD and she sent me to a cardiologist. They ran 4 good test a CT and a PET a stress test and a look at the heart sonogram. I had a little calcificatio cut off by CDC
Healthcare visit (other): MD / Cardiologist
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Joint stiffness | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release