4KY-32821-05630
5 vaccinations
7 coded responses
43 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 151 / PA
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
- 2021-03-10
- 2021-03-11
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2021-03-18
Survey response — day 14, dose 1MedDRA: Rash erythematous, Vaccination site pruritus, Vaccination site reaction, Vaccination site swelling — Feeling: GoodFree text: 3 days after my vaccine my arm started itching at the vaccine site and a bump the size of a dime and a red rash. In 2 days it was gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
-
2021-04-02
Dose 2 — Moderna
- 2021-04-04
- 2021-04-05
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
-
2021-10-25
Dose 3 — Moderna
- 2022-04-02
-
2022-05-11
Dose 4 — Moderna
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2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-05-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2022-05-17
Survey response — days 1–6 daily, dose 4MedDRA: Hip fracture — Feeling: Good · Be unable to work or attend schoolFree text: Yes. I fractured my right hip in 2 places on 3/2 22MedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Survey response — day 7, dose 4MedDRA: Adverse reaction, Fracture, Hip surgery, Pain — Feeling: Fair · Be unable to work or attend schoolFree text: Yes. I know I had a reaction with the 4th shot as the symptoms started when I got up the next morning. Was terrible pain all over my body. Lasted for 3 days. As I reported to you fromThe last vsafe I had hip surgery on 3/2/22 with 2 fractured bonesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
- 2022-08-10
-
2022-09-27
Dose 5 — Moderna
- 2022-09-27
- 2022-09-28
-
2022-09-29
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia, Hip fracture — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I fractured my hip in 2 places 6 mos ago. Hurts the worse on that sideMedDRA releases: 2024-11 · check-in free text available
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2022-09-30
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-01
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-02
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-10-03
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia, Hip fracture — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: 2 fractures in my right hip. Could be contributing to the shot. Feeling a lot better today but still hurt from the hip fractures.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
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2022-12-27
Survey response — 3 months, dose 5MedDRA: Feeling abnormal, Laryngitis, Oropharyngeal pain, Unevaluable event, Viral infection — 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 · Telehealth, virtual health, or email health consultationFree text: After Thanksgiving I came down with an awful Virus starting with laryngaritis, sore throat, upper respiratory very bad. I cannot take antibiotics, my Dr put me on a week of steroids. Lasted for 3 weeks.MedDRA releases: 2024-11 · check-in free text available
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2022-12-27
Report sent to call center — 3 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)
- 2022-12-28
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2022-12-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-05-11 | Moderna | No |
| 5 | 2022-09-27 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 14, dose 1
Symptoms: 3 days after my vaccine my arm started itching at the vaccine site and a bump the size of a dime and a red rash. In 2 days it was gone.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): No
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Yes. I fractured my right hip in 2 places on 3/2 22
Release 11 — day 7, dose 4
Systemic reaction (other): Yes. I know I had a reaction with the 4th shot as the symptoms started when I got up the next morning. Was terrible pain all over my body. Lasted for 3 days. As I reported to you fromThe last vsafe I had hip surgery on 3/2/22 with 2 fractured bones cut off by CDC
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I fractured my hip in 2 places 6 mos ago. Hurts the worse on that side
Systemic reaction (other): 2 fractures in my right hip. Could be contributing to the shot. Feeling a lot better today but still hurt from the hip fractures.
Release 12 — 3 months, dose 5
Symptoms: After Thanksgiving I came down with an awful Virus starting with laryngaritis, sore throat, upper respiratory very bad. I cannot take antibiotics, my Dr put me on a week of steroids. Lasted for 3 weeks.
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 | Feeling abnormal | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vaccination site pruritus | ✓ | ✓ | ✓ |
| SD | Vaccination site reaction | ✓ | ✓ | ✓ |
| SD | Vaccination site swelling | ✓ | ✓ | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Fracture | · | · | ✓ |
| SRO | Hip fracture | · | · | ✓ |
| SRO | Hip surgery | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release