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489-91740-56187

3 vaccinations 8 coded responses 38 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
600 / IL
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Registered in v-safe
  2. 2021-01-08
    Dose 1 — Moderna
  3. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Photophobia — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: Sensitive to light
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Pain, Photophobia, Self-medication — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: Low energy. Still some sensitivity to light but better than yesterday. A little more achy in am that improved a bit after time and Tylenol.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Photophobia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Mild light sensitivity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Dose 2 — Moderna
  12. 2021-02-05
    Survey response — day 0, dose 2
    MedDRA: Photophobia — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Slight light sensitivity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Muscle spasms, Pain, Pain in extremity, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: I tried to report yesterday but the link would not open. You did not send it to way late at night. Yesterday I had terrible pain in my arm and spasms. There is also sharp shooting pain as well. It is much better today compared to yesterday. Also I had terrible aches and chills and fever that I will call severe. Today is more moderate.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Photophobia — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Slight light sensitivity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  16. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fluid retention, Joint swelling, Medical counselling, Pain, Peripheral swelling, Self-medication, Swelling, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): The arm I had the injection in got worse today regarding swelling. My wrist is swollen and up by my base of my neck. I called my physician and sent her photos. She put me on ibuprofen and wants me to sit up as much as possible. The swelling is just fluid. No rash and no color change. Just fluid. There is pain associated with this. · Healthcare visit (other): Phone with photos and discussion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-10
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-02-19
    Survey response — day 14, dose 2
    MedDRA: Condition aggravated, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I developed sympathetically maintained pain in the left arm, which is the same arm I had injected. I have a hx of this 30 years ago. The second shot seemed to flare this up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-19
  27. 2021-08-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-23
    Dose 3 — Moderna
  29. 2021-11-23
    Health check-in — day 0, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  30. 2021-11-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school
    Adult check-in
  31. 2021-11-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-11-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Adult check-in
  33. 2021-11-26
    Report sent to call center — days 1–6 daily, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  34. 2021-11-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  35. 2021-11-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  36. 2021-11-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  37. 2021-11-30
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  38. 2021-11-30
  39. 2021-12-07
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-14
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-28
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-02-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-05-26
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-11-23
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna
32021-11-23Moderna No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Sensitive to light

2021-01-10

Systemic reaction (other): Low energy. Still some sensitivity to light but better than yesterday. A little more achy in am that improved a bit after time and Tylenol.

2021-01-12

Systemic reaction (other): Mild light sensitivity

Release 3 — day 0, dose 2

2021-02-05

Systemic reaction (other): Slight light sensitivity

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): I tried to report yesterday but the link would not open. You did not send it to way late at night. Yesterday I had terrible pain in my arm and spasms. There is also sharp shooting pain as well. It is much better today compared to yesterday. Also I had terrible aches and chills and fever that I will call severe. Today is more moderate.

2021-02-08

Systemic reaction (other): Slight light sensitivity

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): The arm I had the injection in got worse today regarding swelling. My wrist is swollen and up by my base of my neck. I called my physician and sent her photos. She put me on ibuprofen and wants me to sit up as much as possible. The swelling is just fluid. No rash and no color change. Just fluid. There is pain associated with this.
Healthcare visit (other): Phone with photos and discussion

Release 4 — day 14, dose 2

2021-02-19

Symptoms: I developed sympathetically maintained pain in the left arm, which is the same arm I had injected. I have a hx of this 30 years ago. The second shot seemed to flare this up.

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 ✓ · ✓
HCVOUnevaluable event ○ ✓ ○
SDCondition aggravated ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFluid retention ✓ · ✓
SROJoint swelling ✓ ✓ ✓
SROMedical counselling ✓ · ✓
SROMuscle spasms ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROPhotophobia ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSwelling ✓ · ✓

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

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