4RX-35533-98483
4 vaccinations
9 coded responses
50 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 028 / RI
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Moderna
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: These are daily symptoms not new ones. They are due to chronic health issues. As far as health conditions, I have Post Polio Syndrome, sleep apnea,hypertension,hypercholestemia,GERD, arthritis, chronuc pain. Was hsppy to get the vaccine. As a child of 3 the Salk polio vsvvjne wad recled in 1954 I believe abd in 1955 a Polio elidemic broke out in New England. Getting any vaccine deemed safe is so important.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
-
2021-03-19
Dose 2 — Moderna
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · HeadacheAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
-
2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-26
-
2021-04-02
Survey response — day 14, dose 2MedDRA: Dysphonia, Fatigue, Musculoskeletal stiffness, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Mostly fatigue,stiffened neck also had hoarseness minor irritated throat the hoarseness happened 2nd wk. ? Relationship though did have hoarseness after Flu shots a few yrs ago and a couple of years in a rowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-04-30
Survey response — day 42, dose 2MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Bursitis in left hipBurning like pain bilateral wrists and hands. A worsening nit a new condition · Healthcare visit (other): Orthopedic surgeon for a cortisone shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-18
-
2021-09-17
Survey response — 6 months, dose 2MedDRA: Dysphonia, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hoarseness and a UTIMedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-20
-
2021-10-23
Dose 3 — Moderna
- 2021-10-28
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-30
Health check-in — day 7, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-06
- 2021-11-13
-
2021-11-20
Survey response — day 28, dose 3MedDRA: Fatigue, Myalgia — Feeling: FairFree text: Extreme fatigue and muscle paiMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-12-04
- 2022-01-22
- 2022-04-23
-
2022-04-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-04-29
Dose 4 — Moderna
-
2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-04
Survey response — days 1–6 daily, dose 4MedDRA: Otitis media — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Had otitis media treated and 7 days on antibiotics and steroid nasal spray got worse instead of betterMedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Survey response — days 1–6 daily, dose 4MedDRA: Ear pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Continue with earache, put on extended course of antibioticsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Survey response — day 7, dose 4MedDRA: Ear pain — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Continued earache on antibioticsMedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
-
2022-07-29
Survey response — 3 months, dose 4MedDRA: COVID-19, Cough, Fatigue, Throat irritation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Contracted Covid 7/6/22 No fever, coughing, scratchy throat and exhaustionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2023-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): These are daily symptoms not new ones. They are due to chronic health issues. As far as health conditions, I have Post Polio Syndrome, sleep apnea,hypertension,hypercholestemia,GERD, arthritis, chronuc pain. Was hsppy to get the vaccine. As a child of 3 the Salk polio vsvvjne wad recled in 1954 I believe abd in 1955 a Polio elidemic broke out in New England. Getting any vaccine deemed safe is so important.
Release 6 — day 14, dose 2
Symptoms: Mostly fatigue,stiffened neck also had hoarseness minor irritated throat the hoarseness happened 2nd wk. ? Relationship though did have hoarseness after Flu shots a few yrs ago and a couple of years in a row
Release 8 — day 42, dose 2
Symptoms: Bursitis in left hipBurning like pain bilateral wrists and hands. A worsening nit a new condition
Healthcare visit (other): Orthopedic surgeon for a cortisone shot
Release 9 — 6 months, dose 2
Symptoms: Hoarseness and a UTI
Release 10 — day 28, dose 3
Symptoms: Extreme fatigue and muscle pai
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Had otitis media treated and 7 days on antibiotics and steroid nasal spray got worse instead of better
Systemic reaction (other): Continue with earache, put on extended course of antibiotics
Release 11 — day 7, dose 4
Systemic reaction (other): Continued earache on antibiotics
Release 12 — 3 months, dose 4
Symptoms: Contracted Covid 7/6/22 No fever, coughing, scratchy throat and exhaustion
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysphonia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Otitis media | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release