473-28717-28706
4 vaccinations
4 coded responses
57 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 537 / WI
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Survey response — day 35, dose 2MedDRA: Pain in extremity, Therapeutic response unexpected — Feeling: GoodFree text: I have had no arthritic pain in my right hand since the evening after my first vaccination. That evening I had a sudden severe increase of pain in that hand and since have had none. I suggest you add to V-Safe an opportunity to report good changes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
-
2021-05-28
Survey response — 3 months, dose 2MedDRA: Peripheral ischaemia, Skin discolouration, Vasospasm — Feeling: GoodFree text: Diagnosis was spontaneous vasospastic limb ischemia. Same arm (right) that my moderna shots went in. Lower arm into hand intense spasm that resolved in 12 hours leaving pinky purple for about 10 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-29
Survey response — 6 months, dose 2MedDRA: Breast cancer, Mastectomy — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Symptoms: Breast cancer both sides · Healthcare visit (other): Bilateral breast cancer with double mastectomy 8-27-21MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-29
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-07
- 2021-10-11
-
2021-10-27
Dose 3 — Moderna
-
2021-10-27
Survey response — day 0, dose 3MedDRA: Epistaxis, Medical counselling — Feeling: Good · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Bloody nose · Healthcare visit (other): Nurse on call about nose bleedMedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Report sent to call center — day 0, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-28
-
2022-05-24
Dose 4 — Moderna
- 2022-05-24
-
2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2022-05-26
-
2022-05-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2022-05-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-08-23
- 2022-11-22
- 2023-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-05-24 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — day 35, dose 2
Symptoms: I have had no arthritic pain in my right hand since the evening after my first vaccination. That evening I had a sudden severe increase of pain in that hand and since have had none. I suggest you add to V-Safe an opportunity to report good changes. cut off by CDC
Release 8 — 3 months, dose 2
Symptoms: Diagnosis was spontaneous vasospastic limb ischemia. Same arm (right) that my moderna shots went in. Lower arm into hand intense spasm that resolved in 12 hours leaving pinky purple for about 10 days.
Release 9 — 6 months, dose 2
Symptoms: Breast cancer both sides
Healthcare visit (other): Bilateral breast cancer with double mastectomy 8-27-21
Release 10 — day 0, dose 3
Systemic reaction (other): Bloody nose
Healthcare visit (other): Nurse on call about nose bleed
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 | Breast cancer | ✓ | · | ✓ |
| HCVO | Epistaxis | · | · | ✓ |
| HCVO | Mastectomy | ✓ | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| SD | Breast cancer | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral ischaemia | ✓ | ✓ | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Therapeutic response unexpected | ✓ | ✓ | ✓ |
| SD | Vasospasm | ✓ | ✓ | ✓ |
| SRO | Epistaxis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release