4MC-27528-36374
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 800 / CO
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-02-12
Registered in v-safe
- 2021-02-12
- 2021-02-13
-
2021-02-20
Survey response — day 14, dose 1MedDRA: Asthenia, Headache, Injection site induration, Injection site warmth, Pain, Pain in extremity, Rash — 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: My arm started to hurt a week after I received my shot. I had a really bad rash. It was hard around the shot area and was warm to the touch. My body felt achy and I had low energy. I also had a headache for several days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-27
Survey response — day 21, dose 1MedDRA: Dyspnoea, Fatigue, Headache, Tenderness — Feeling: FairFree text: Shortness of breath Headache Tired Fatigued Tender armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Dose 2 — Moderna
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-03-13
Survey response — day 7, dose 2MedDRA: Facial pain, Headache, Pain, Self-medication — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Just that Ive had a really bad headache that has t gone away in a week. Ive taken Tylenol but it doesnt seem to help.. The left side of my face hurts and temple.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-12
- 2021-04-17
- 2021-06-07
- 2021-08-16
- 2021-09-04
- 2022-03-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: My arm started to hurt a week after I received my shot. I had a really bad rash. It was hard around the shot area and was warm to the touch. My body felt achy and I had low energy. I also had a headache for several days.
Release 4 — day 21, dose 1
Symptoms: Shortness of breath Headache Tired Fatigued Tender arm
Release 5 — day 7, dose 2
Systemic reaction (other): Just that Ive had a really bad headache that has t gone away in a week. Ive taken Tylenol but it doesnt seem to help.. The left side of my face hurts and temple.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release