4JV-26330-99079
6 vaccinations
4 coded responses
28 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 303 / GA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-02-11
Dose 2 — Moderna
-
2021-02-24
Registered in v-safe
-
2021-02-24
Survey response — day 7, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: I am having pain again at the injection site of the first dose of the vaccine. I start having pain at the same place approximately 2 1/2 weeks after my first vaccine. The pain started again at the same site two days ago. There is also soreness to the touch of my forearm below the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-03-26
Survey response — day 42, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Periodically, I feel a slight pain at the injection site of the first vaccine. I have been feeling this pain for several weeks. My second dose of the vaccine was put into the other arm. I do not feel any pain in that arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
-
2021-08-14
Survey response — 6 months, dose 2MedDRA: Ear discomfort, Sinus disorder — Feeling: FairFree text: Probably a sinus issue. For last several days, my ears feel clogged up.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-11
Dose 3 — Moderna
- 2022-05-12
-
2022-05-31
Dose 4 — Moderna
- 2022-06-04
- 2022-06-06
- 2022-06-09
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-07-12
-
2022-08-30
Survey response — 3 months, dose 4MedDRA: Vaccination site pain — Feeling: GoodFree text: The area above my elbow on my left arm has periodically start to hurt. This is the arm where I received my second booster vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-24
Dose 5 — Moderna
- 2022-11-29
-
2023-05-05
Dose 6 — Moderna
- 2023-05-08
- 2023-05-09
- 2023-05-10
- 2023-05-11
- 2023-05-12
- 2023-05-21
- 2023-05-26
- 2023-06-02
- 2023-06-09
- 2023-06-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-05-31 | Moderna | No |
| 5 | 2022-10-24 | Moderna | No |
| 6 | 2023-05-05 | Moderna | No |
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): I am having pain again at the injection site of the first dose of the vaccine. I start having pain at the same place approximately 2 1/2 weeks after my first vaccine. The pain started again at the same site two days ago. There is also soreness to the touch of my forearm below the injection site.
Release 6 — day 42, dose 2
Symptoms: Periodically, I feel a slight pain at the injection site of the first vaccine. I have been feeling this pain for several weeks. My second dose of the vaccine was put into the other arm. I do not feel any pain in that arm.
Release 9 — 6 months, dose 2
Symptoms: Probably a sinus issue. For last several days, my ears feel clogged up.
Release 12 — 3 months, dose 4
Symptoms: The area above my elbow on my left arm has periodically start to hurt. This is the arm where I received my second booster 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 |
|---|---|---|---|---|
| SD | Ear discomfort | ✓ | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | · | ✓ |
| SD | Vaccination site pain | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release