4RN-38771-63785
4 vaccinations
6 coded responses
39 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 983 / WA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
-
2021-01-26
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling, Injection site warmth — Feeling: GoodFree text: Large red circle area around location of vaccine injection on my right upper arm, felt slightly raised and warm to the touch, noticeably different when compared with my other arm. It was not there first week post vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Arthralgia — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Random sharp pains in shoulder joint and in right side of abdomen, from approximately 8:00pm 02/09/21 to approximately 10:00am on 02/10/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
-
2021-08-10
Survey response — 6 months, dose 2MedDRA: Cough, Eye pruritus, Nasal congestion — Feeling: FairFree text: Stuffy nose cough itchy eyesMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-27
Dose 3 — Moderna
-
2022-02-09
Survey response — 12 months, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: Good · 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: Cough, sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-02-09
Report sent to call center — 12 months, dose 2Be 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)
- 2022-02-11
-
2022-12-06
Dose 4 — Pfizer-BioNTechCo-administered: Flu:Shingles
-
2022-12-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-12-08
-
2022-12-09
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Pain at injection sites is only felt when I touch the area of the skin where injections were given, otherwise no painMedDRA releases: 2024-11 · check-in free text available
- 2022-12-10
- 2022-12-12
- 2022-12-13
- 2022-12-20
- 2022-12-27
-
2023-01-03
Survey response — day 28, dose 4MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-01-10
- 2023-01-17
- 2023-03-07
- 2023-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
| 4 | 2022-12-06 | Pfizer-BioNTech | Flu:Shingles |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: Large red circle area around location of vaccine injection on my right upper arm, felt slightly raised and warm to the touch, noticeably different when compared with my other arm. It was not there first week post vaccine
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Random sharp pains in shoulder joint and in right side of abdomen, from approximately 8:00pm 02/09/21 to approximately 10:00am on 02/10/21
Release 9 — 6 months, dose 2
Symptoms: Stuffy nose cough itchy eyes
Release 11 — 12 months, dose 2
Symptoms: Cough, sore throat
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Pain at injection sites is only felt when I touch the area of the skin where injections were given, otherwise no pain
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 | Cough | ✓ | · | ✓ |
| SD | Eye pruritus | ✓ | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release