4LT-28882-30510
4 vaccinations
8 coded responses
43 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 933 / CA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dont know if these symptoms are due to the vaccination or pre-existing conditions.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dont know if these symptoms are attributable to the vaccine or other pre-existing conditions.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dont know if these pre-existing conditions are attributable to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: These are already symptoms of pre-existing conditions.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-10
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
- 2021-09-01
-
2021-10-25
Dose 3 — Moderna
- 2021-10-25
- 2021-10-26
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-11-03
-
2021-11-09
Survey response — day 14, dose 3MedDRA: Condition aggravated, Office visit, Pain, Pre-existing disease — Feeling: Fair · 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: Symptoms: ENT issues and pain - have made appts. with both my primary care provider and my dentist today. These are not entirely new symptoms today - it has become a growing concern. · Healthcare visit (other): DentalMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-05
Dose 4 — Moderna
- 2022-04-25
- 2022-05-04
- 2022-05-10
-
2022-05-19
Survey response — day 42, dose 4MedDRA: Abdominal pain, Chest pain, Cough, Pain in jaw, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Pain in chest, jaw, abdomen, cough, chest congestion,MedDRA releases: 2024-11 · check-in free text available
-
2022-05-19
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-05-20
-
2022-05-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-07
- 2022-10-05
-
2023-04-06
Survey response — 12 months, dose 4MedDRA: Arthralgia, Arthritis, Intervertebral disc protrusion, Pre-existing disease, Spinal pain, Stress — Feeling: Poor · 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 visitMedDRA releases: 2024-11
-
2023-04-06
Report sent to call center — 12 months, dose 4Be 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Dont know if these symptoms are due to the vaccination or pre-existing conditions.
Systemic reaction (other): Dont know if these symptoms are attributable to the vaccine or other pre-existing conditions.
Systemic reaction (other): Dont know if these pre-existing conditions are attributable to the vaccine.
Systemic reaction (other): These are already symptoms of pre-existing conditions.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No
Release 10 — day 14, dose 3
Symptoms: ENT issues and pain - have made appts. with both my primary care provider and my dentist today. These are not entirely new symptoms today - it has become a growing concern.
Healthcare visit (other): Dental
Release 11 — day 42, dose 4
Symptoms: Pain in chest, jaw, abdomen, cough, chest congestion,
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 | Office visit | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Intervertebral disc protrusion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Spinal pain | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release