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46X-96766-20764

6 vaccinations 11 coded responses 42 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
026 / MA
Registered
2021-02-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Registered in v-safe
  2. 2021-02-03
    Dose 1 — Moderna
  3. 2021-02-03
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: I was same yesterday, sorry I missed responding to text in time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-10
    Survey response — day 7, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains
    Free text: Osteoarthritis in knees - I shoveled snow and chipped ice today!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-01
    Dose 2 — Moderna
  13. 2021-03-01
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-03-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Fatigue, Mobility decreased, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I had cataract surgery yesterday and spent most of day in bed, most likely from surgery and somewhat tired again today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pruritus — Feeling: Good · Site: Itching
    Free text: I have had itchiness at injection site only once a day so did not report it previously, but since it has been consistently happening once a day, I decided to report the very mild transient itchiness once a day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  20. 2021-03-08
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  21. 2021-03-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-29
    Survey response — day 28, dose 2
    MedDRA: Pain — Feeling: Good
    Free text: My osteoarthritis right hand has become very painful...especially when trying to turn doorknobs, lift something weighty.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-12
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Eye pruritus, Joint stiffness, Nasal congestion, Osteoarthritis, Pre-existing disease, Sneezing — Feeling: Good
    Free text: The osteoarthritis in my knees and right hand has been more painful and more stiffness in knees but I think it is due to yard work. Also my seasonal allergies have been bad this year...sneezing, nasal congestion, itchy eyes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-31
    Survey response — 3 months, dose 2
    MedDRA: Medical counselling, Pre-existing disease — 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 visit
    Free text: Symptoms: I had TKA on May 4 so have many related symptoms to the surgery but none related to COVID 19 or vaccine.(I had a coronavirus antibody test the end of April as part of a clinical research study and it was negative.) · Healthcare visit (other): Email consult for pain med, home and now outpatient PT
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-31
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-08-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-18
    Dose 3 — Moderna
  30. 2022-01-24
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  31. 2022-03-01
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-05-19
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-08-18
    Dose 4 — Moderna
  34. 2022-10-02
    Survey response — day 42, dose 4
    MedDRA: Blood pressure increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: My BP has gone up requiring an increase in my Losartan to 75 mg daily · Healthcare visit (other): Incidental finding during PCP office visit for preop exam and clearance. (Second TKA)
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-10-02
    Report sent to call center — day 42, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  36. 2022-10-03
  37. 2022-11-17
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  38. 2023-01-05
    Dose 5 — Moderna
  39. 2023-02-17
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  40. 2023-02-17
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  41. 2023-04-06
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  42. 2023-05-06
    Dose 6 — Moderna
  43. 2023-05-08
    Survey response — days 1–6 daily, dose 6
    MedDRA: Fatigue — Feeling: Good · Site: Pain
    MedDRA releases: 2024-11
  44. 2023-05-09
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · Site: Pain · None
    Adult check-in
  45. 2023-05-10
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · Site: Pain · None
    Adult check-in
  46. 2023-05-11
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · None
    Adult check-in
  47. 2023-05-12
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · None
    Adult check-in
  48. 2023-05-13
    Health check-in — day 7, dose 6
    Feeling: Good · None
    Adult check-in
  49. 2023-05-20
    Survey response — day 14, dose 6
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair
    MedDRA releases: 2024-11
  50. 2023-05-27
    Health check-in — day 21, dose 6
    Feeling: Good
    Adult check-in
  51. 2023-06-03
    Survey response — day 28, dose 6
    MedDRA: Gastrointestinal disorder, Norovirus infection — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  52. 2023-06-10
    Health check-in — day 35, dose 6
    Feeling: Good
    Adult check-in
  53. 2023-06-17
    Health check-in — day 42, dose 6
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna
22021-03-01Moderna
32021-11-18Moderna No
42022-08-18Moderna No
52023-01-05Moderna No
62023-05-06Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): I was same yesterday, sorry I missed responding to text in time.

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): Osteoarthritis in knees - I shoveled snow and chipped ice today!

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): I had cataract surgery yesterday and spent most of day in bed, most likely from surgery and somewhat tired again today.

2021-03-06

Systemic reaction (other): I have had itchiness at injection site only once a day so did not report it previously, but since it has been consistently happening once a day, I decided to report the very mild transient itchiness once a day.

Release 6 — day 28, dose 2

2021-03-29

Symptoms: My osteoarthritis right hand has become very painful...especially when trying to turn doorknobs, lift something weighty.

Release 7 — day 42, dose 2

2021-04-12

Symptoms: The osteoarthritis in my knees and right hand has been more painful and more stiffness in knees but I think it is due to yard work. Also my seasonal allergies have been bad this year...sneezing, nasal congestion, itchy eyes.

Release 8 — 3 months, dose 2

2021-05-31

Symptoms: I had TKA on May 4 so have many related symptoms to the surgery but none related to COVID 19 or vaccine.(I had a coronavirus antibody test the end of April as part of a clinical research study and it was negative.)
Healthcare visit (other): Email consult for pain med, home and now outpatient PT

Release 12 — day 42, dose 4

2022-10-02

Symptoms: My BP has gone up requiring an increase in my Losartan to 75 mg daily
Healthcare visit (other): Incidental finding during PCP office visit for preop exam and clearance. (Second TKA)

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 ✓ ✓ ✓
HCVOOffice visit · · ✓
SDArthralgia ✓ ✓ ✓
SDBlood pressure increased · · ✓
SDEye pruritus ✓ ✓ ✓
SDGastrointestinal disorder · · ✓
SDJoint stiffness ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDNorovirus infection · · ✓
SDOsteoarthritis ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SDSneezing ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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