48Y-21305-40612
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
- 2021-03-13
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: I was so prepared to have flu-like symptoms and be sick for at least 24 hours but nothing. Should I be concerned? Even my arm only hurt for about 24 hours after the second shot. It hurt for four days with the first shot. I guess I over-analyze everything just made me nervous because I haven't had any negative side effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-28
- 2021-04-02
- 2021-04-09
- 2021-04-18
-
2021-06-11
Survey response — 3 months, dose 2MedDRA: Chest discomfort, Dyspnoea — Feeling: GoodFree text: Can't always get a successful deep breath. Chest feels very tight at times when sitting down trying to take a deep breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-11
Survey response — 6 months, dose 2MedDRA: Arthritis, Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Went to doctor to see how bad arthritis is and was advised that I have no cartilage and either knee and will probably need surgery within the next 5 to 7 years nearest. · Healthcare visit (other): Scheduled appointment so could have lab work done at the same timeMedDRA releases: 2024-11 · check-in free text available
-
2021-09-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-16
-
2021-09-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I was so prepared to have flu-like symptoms and be sick for at least 24 hours but nothing. Should I be concerned? Even my arm only hurt for about 24 hours after the second shot. It hurt for four days with the first shot. I guess I over-analyze everything just made me nervous because I haven't had any negative side effects.
Release 9 — 3 months, dose 2
Symptoms: Can't always get a successful deep breath. Chest feels very tight at times when sitting down trying to take a deep breath.
Release 9 — 6 months, dose 2
Symptoms: Went to doctor to see how bad arthritis is and was advised that I have no cartilage and either knee and will probably need surgery within the next 5 to 7 years nearest.
Healthcare visit (other): Scheduled appointment so could have lab work done at the same time
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 | Unevaluable event | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release