4KT-11375-83133
4 vaccinations
11 coded responses
43 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 113 / NY
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-02-14
Registered in v-safe
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: PainFree text: The pain of the other day was greatly eased by the application of ice. Now its fineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-18
- 2021-02-21
- 2021-02-26
- 2021-03-05
-
2021-03-12
Dose 2 — Moderna
-
2021-03-12
Survey response — day 0, dose 2MedDRA: Peripheral swelling — Feeling: Good · Site: SwellingFree text: After 1 hour I found that my shoes were too tight. Sure enough my both feet were swollen. Took off my socks and shoes and sat with my feet up. Not perfect but much improved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling — Feeling: Good · Site: Swelling · Be unable to do your normal daily activitiesFree text: I still have swollen feet- not as bad as yesterday but still not right. My shoes are a bit tight but not as bad as when this began. Sat this morning with my feet up and that helped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling — Feeling: Good · Site: Swelling · Joint painsFree text: Feet stlll swollen but a bit improved over yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling — Feeling: GoodFree text: My feet are no longer swollen. Its minimalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-04
- 2021-04-11
- 2021-04-16
- 2021-04-23
- 2021-06-11
- 2021-09-10
-
2021-12-01
Dose 3 — Moderna
- 2021-12-18
- 2021-12-22
- 2021-12-31
- 2022-01-06
- 2022-01-12
- 2022-03-04
-
2022-04-23
Dose 4 — Moderna
- 2022-04-23
-
2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My arm pain is very much like it was at the time of my first shot.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Good · Site: PainFree text: The light headedness from yesterday has gone awayMedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
-
2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Aches are mildMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: Not too bad. Used the heating pad on my shoulder. Gave relief.This is similar to when I had the first shot!MedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
-
2022-04-30
Survey response — day 7, dose 4MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint painsFree text: Same achiness in the shoulder. Not bad enough to do anything about itMedDRA releases: 2024-11 · check-in free text available
-
2022-05-09
Survey response — day 14, dose 4MedDRA: Arthralgia, Self-medication — Feeling: GoodFree text: My shoulder joint where I got my shot continues to be achy- sometimes enough to take a Tylenol or use the heat pad. This is similar to when I got the first shotMedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-07-23
- 2022-10-22
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-04-23 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): The pain of the other day was greatly eased by the application of ice. Now its fine
Release 5 — day 0, dose 2
Systemic reaction (other): After 1 hour I found that my shoes were too tight. Sure enough my both feet were swollen. Took off my socks and shoes and sat with my feet up. Not perfect but much improved.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I still have swollen feet- not as bad as yesterday but still not right. My shoes are a bit tight but not as bad as when this began. Sat this morning with my feet up and that helped.
Systemic reaction (other): Feet stlll swollen but a bit improved over yesterday
Systemic reaction (other): My feet are no longer swollen. Its minimal
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): My arm pain is very much like it was at the time of my first shot.
Systemic reaction (other): The light headedness from yesterday has gone away
Systemic reaction (other): Aches are mild
Systemic reaction (other): Not too bad. Used the heating pad on my shoulder. Gave relief.This is similar to when I had the first shot!
Release 11 — day 7, dose 4
Systemic reaction (other): Same achiness in the shoulder. Not bad enough to do anything about it
Release 11 — day 14, dose 4
Symptoms: My shoulder joint where I got my shot continues to be achy- sometimes enough to take a Tylenol or use the heat pad. This is similar to when I got the first shot
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 | Self-medication | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release