4DK-23233-50296
5 vaccinations
11 coded responses
57 check-ins
10 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 553 / MN
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
- 2021-03-10
- 2021-03-16
- 2021-03-17
- 2021-03-24
-
2021-03-31
Survey response — day 21, dose 1MedDRA: Arthralgia, Chills, Condition aggravated, Fatigue, Pre-existing disease — Feeling: GoodFree text: I have PMR and some of the symptoms - chills, fatigue, wrist pain, have become more frequent.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-07
-
2021-10-06
Survey response — 6 months, dose 2MedDRA: Arthralgia, Chills, Fatigue, Polymyalgia rheumatica, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: PMR flare - onset early Sept., joint pain, chills, fatigue. Am weaning off a med and believe that is the reason for the flareMedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Dose 3 — Moderna
-
2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-12-12
-
2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · HeadacheFree text: Suspect early cold sxMedDRA releases: 2024-11 · check-in free text available
-
2021-12-15
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Dysphonia, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Congestion, cough, hoarse - tested for COVID19 · Healthcare visit (other): Covid 19 testMedDRA releases: 2024-11 · check-in free text available
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2021-12-15
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-12-16
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Fair · Chills, Headache, Fatigue or tirednessFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-12-17
Survey response — day 7, dose 3MedDRA: Cough, Respiratory disorder — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cough - due to respiratory illnessMedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Call successfulDoes not wish to fill out VAERS report
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-01-23
- 2022-03-11
-
2022-05-20
Dose 4 — Pfizer-BioNTech
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2022-05-20
Health check-in — day 0, dose 4Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
-
2022-05-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-29
-
2022-06-05
Survey response — day 14, dose 4MedDRA: Arthralgia, Chills, Fatigue, Polymyalgia rheumatica, Pre-existing disease — Feeling: Fair · Be unable to work or attend schoolFree text: Worsening PMR symptoms- joint pain, fatigue, chillsMedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
- 2022-06-17
-
2022-06-24
Survey response — day 35, dose 4MedDRA: Dizziness, Spinal disorder, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extreme dizziness and vomiting - likely related to cervical issuesMedDRA releases: 2024-11 · check-in free text available
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2022-07-01
Survey response — day 42, dose 4MedDRA: Vertigo, Vomiting — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Vertigo and vomitingMedDRA releases: 2024-11 · check-in free text available
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2022-07-01
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-05
- 2022-08-19
-
2022-10-05
Dose 5 — ModernaCo-administered: Flu
-
2022-10-07
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-09
-
2022-10-10
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia — Feeling: Good · Joint painsFree text: Joint pain unrelated to vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-11
- 2022-11-16
- 2023-01-04
-
2023-04-05
Survey response — 6 months, dose 5MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-04-05
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-06
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
| 4 | 2022-05-20 | Pfizer-BioNTech | No |
| 5 | 2022-10-05 | Moderna | Flu |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 6 — day 21, dose 1
Symptoms: I have PMR and some of the symptoms - chills, fatigue, wrist pain, have become more frequent.
Release 10 — 6 months, dose 2
Symptoms: PMR flare - onset early Sept., joint pain, chills, fatigue. Am weaning off a med and believe that is the reason for the flare
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Suspect early cold sx
Systemic reaction (other): Congestion, cough, hoarse - tested for COVID19
Healthcare visit (other): Covid 19 test
Systemic reaction (other): Cough
Release 10 — day 7, dose 3
Systemic reaction (other): Cough - due to respiratory illness
Release 11 — day 14, dose 4
Symptoms: Worsening PMR symptoms- joint pain, fatigue, chills
Release 12 — day 35, dose 4
Symptoms: Extreme dizziness and vomiting - likely related to cervical issues
Release 12 — day 42, dose 4
Symptoms: Vertigo and vomiting
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Joint pain unrelated to vaccine
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 | SARS-CoV-2 test | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Polymyalgia rheumatica | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Spinal disorder | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dysphonia | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Respiratory disorder | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | SARS-CoV-2 test | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release