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4F8-17876-13011

4 vaccinations 9 coded responses 38 check-ins 8 free-text entries 6 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
194 / PA
Registered
2021-02-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Registered in v-safe
  2. 2021-02-10
    Dose 1 — Moderna
  3. 2021-02-10
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  6. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  7. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-24
    Survey response — day 14, dose 1
    MedDRA: Peripheral swelling, Self-medication, Urticaria — Feeling: Good
    Free text: 10 days after getting the moderna vaccine my arm swelled up and I got hives on both arms and legs. Benadryl helped. They lasted 3-4 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-17
    Survey response — day 35, dose 1
    MedDRA: Diarrhoea, Pyrexia, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Vomiting, diarrhea, fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-17
    Report sent to call center — day 35, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-03-19
    Dose 2 — Moderna
  14. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-26
    Survey response — day 7, dose 2
    MedDRA: Feeling abnormal — Feeling: Good
    Free text: Brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-20
    Survey response — 3 months, dose 2
    MedDRA: Diarrhoea, Unevaluable event, Vomiting, Weight decreased — 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 consultation
    Free text: Symptoms: Weight loss,diarrhea, vomiting. Had tests and more scheduled. Not Covid related. · Healthcare visit (other): Had colonoscopy and endoscopy and CT scan for lungs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-20
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  24. 2021-06-23
  25. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-10-28
    Dose 3 — Moderna
  27. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  28. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  29. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  30. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  31. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-04
    Survey response — day 7, dose 3
    MedDRA: Migraine — Feeling: Poor · Headache · Be unable to do your normal daily activities
    Free text: Migraine not related to vaccine
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-27
    Survey response — 3 months, dose 3
    MedDRA: 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 consultation, Outpatient clinic or urgent care clinic visit
    Free text: Had omicron Covid
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-01-27
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  41. 2022-02-07
  42. 2022-02-08
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  43. 2022-11-02
    Dose 4 — Moderna
  44. 2022-11-03
    Survey response — 12 months, dose 3
    MedDRA: Bronchitis, COVID-19, Influenza, Knee arthroplasty, Rib fracture — 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Knee replacement, Covid in Jan and May. A bad year! 3 fractured ribs, flu and bronchitis. Finally got my booster yesterday
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-11-03
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  46. 2022-11-04
  47. 2022-11-04
  48. 2022-12-02
    Survey response — day 28, dose 4
    MedDRA: Adverse reaction, Brain fog, Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I felt tired and hard brain fog after the vaccine. Felt better for a week or so but same symptoms are back. Is that normal? · Healthcare visit (other): I had to miss a dr appointment because I couldn't wake up
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-12-02
    Report sent to call center — day 28, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  50. 2022-12-05
  51. 2022-12-05
  52. 2022-12-05
  53. 2022-12-05
  54. 2022-12-07
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  55. 2022-12-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  56. 2023-02-01
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  57. 2023-05-04
    Survey response — 6 months, dose 4
    MedDRA: Acute sinusitis, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  58. 2023-05-04
    Report sent to call center — 6 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  59. 2023-05-05
  60. 2023-05-05
  61. 2023-05-05
  62. 2023-05-05
  63. 2023-05-12
  64. 2023-05-17
  65. 2023-05-17
  66. 2023-05-17
  67. 2023-05-17
  68. 2023-05-17

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-19Moderna
32021-10-28Moderna No
42022-11-02Moderna No

Call center

6 call center cases

1 successful · 5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-24

Symptoms: 10 days after getting the moderna vaccine my arm swelled up and I got hives on both arms and legs. Benadryl helped. They lasted 3-4 days.

Release 5 — day 35, dose 1

2021-03-17

Symptoms: Vomiting, diarrhea, fever

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Brain fog

Release 9 — 3 months, dose 2

2021-06-20

Symptoms: Weight loss,diarrhea, vomiting. Had tests and more scheduled. Not Covid related.
Healthcare visit (other): Had colonoscopy and endoscopy and CT scan for lungs

Release 10 — day 7, dose 3

2021-11-04

Systemic reaction (other): Migraine not related to vaccine

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Had omicron Covid

Release 12 — 12 months, dose 3

2022-11-03

Symptoms: Knee replacement, Covid in Jan and May. A bad year! 3 fractured ribs, flu and bronchitis. Finally got my booster yesterday

Release 12 — day 28, dose 4

2022-12-02

Symptoms: I felt tired and hard brain fog after the vaccine. Felt better for a week or so but same symptoms are back. Is that normal?
Healthcare visit (other): I had to miss a dr appointment because I couldn't wake 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
HCVOOffice visit · · ✓
HCVOSomnolence · · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDAcute sinusitis · · ✓
SDAdverse reaction · · ✓
SDBrain fog · · ✓
SDBronchitis · · ✓
SDCOVID-19 · · ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue · · ✓
SDInfluenza · · ✓
SDKnee arthroplasty · · ✓
SDPeripheral swelling ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRib fracture · · ✓
SDSelf-medication ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SDWeight decreased ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROMigraine · · ✓

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

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