4AR-14647-67191
4 vaccinations
10 coded responses
46 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 927 / CA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-31
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal, Headache — Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheFree text: More fuzzy/irregular head than acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Poor · Chills, Abdominal pain · Be unable to do your normal daily activitiesFree text: Im celiac and may have gotten glutened by takeout food that was supposed to be Gluten Free, but may not have been? Cramping, gas, constipated all night long, do exh as usted today. Is there any connection to vaccine or kusy coincidence?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
-
2021-02-14
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: On day 8 I felt itching, swelling and redness at injection site, as in the beginning! It only seemed to last a day. No medication needed. At some point days later I realized I had some redness in the same area, but not as pronounced as on day 8.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — day 21, dose 1MedDRA: Arthralgia, Erythema, Peripheral swelling — Feeling: GoodFree text: This may not be related, but in interest of being clear about all health related issues: I woke up with joint pain, redness and swelling in one finger joint, but that was gone the next day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Dose 2 — Moderna
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lightheaded, poor circilation?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Myalgia, Self-medication — Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body achesFree text: Last night I woke from sleep feeling joint and muscle pain, took a Tylenol. I felt fine, back to normal, this morning!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Self-medication — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection siteFree text: Had this same injection site yesterday too, took Benadryl before bed, redness seems to be spreading. Put hydrocortisone 2.5 on it at 4:25 pm today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
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2021-05-30
Survey response — 3 months, dose 2MedDRA: Swelling face, Tenderness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Possible salivary glad blockage, tender lump left inside cheek with swelling/tenderness at left jaw. Resolved without medication approx 5-7days later.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-30
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-29
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2021-10-25
Dose 3 — Moderna
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
-
2021-11-08
Survey response — day 14, dose 3MedDRA: Muscle twitching — Feeling: GoodFree text: Muscle twitching in upper right arm, noticed on and off (while resting) for approx several days, but gone now. Ive never felt anything like this before and possibly unrelated.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
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2021-11-29
Survey response — day 35, dose 3MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Head cold, sore throat, runny nose, congestion.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2022-01-24
-
2022-05-02
Dose 4 — Moderna
- 2022-05-11
- 2022-05-14
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-08-03
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-02-28 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-05-02 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): More fuzzy/irregular head than ache
Systemic reaction (other): Im celiac and may have gotten glutened by takeout food that was supposed to be Gluten Free, but may not have been? Cramping, gas, constipated all night long, do exh as usted today. Is there any connection to vaccine or kusy coincidence?
Release 4 — day 14, dose 1
Symptoms: On day 8 I felt itching, swelling and redness at injection site, as in the beginning! It only seemed to last a day. No medication needed. At some point days later I realized I had some redness in the same area, but not as pronounced as on day 8.
Release 4 — day 21, dose 1
Symptoms: This may not be related, but in interest of being clear about all health related issues: I woke up with joint pain, redness and swelling in one finger joint, but that was gone the next day.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lightheaded, poor circilation?
Systemic reaction (other): Last night I woke from sleep feeling joint and muscle pain, took a Tylenol. I felt fine, back to normal, this morning!
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Had this same injection site yesterday too, took Benadryl before bed, redness seems to be spreading. Put hydrocortisone 2.5 on it at 4:25 pm today.
Release 8 — 3 months, dose 2
Symptoms: Possible salivary glad blockage, tender lump left inside cheek with swelling/tenderness at left jaw. Resolved without medication approx 5-7days later.
Release 10 — day 14, dose 3
Symptoms: Muscle twitching in upper right arm, noticed on and off (while resting) for approx several days, but gone now. Ive never felt anything like this before and possibly unrelated.
Release 10 — day 35, dose 3
Symptoms: Head cold, sore throat, runny nose, congestion.
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Muscle twitching | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release