4VH-22090-26189
5 vaccinations
12 coded responses
53 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 902 / CA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Moderna
-
2021-04-08
Registered in v-safe
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: The arm where the vaccine was given is sore to raise the arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort, Chills — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Stomach was bothering me today , alittle chills overnight, all is ok though!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-11
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Productive cough — Feeling: FairFree text: A little coughing out flim.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 7, dose 1MedDRA: Cough, Productive cough — Feeling: FairFree text: Coughing flim up, could be a sinus issue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
-
2021-05-05
Dose 2 — Moderna
- 2021-05-05
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-05-08
- 2021-05-09
- 2021-05-10
-
2021-05-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-05-12
Survey response — day 7, dose 2MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Joint painsFree text: Running nose, slight cough today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-08-04
- 2021-11-03
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2021-11-17
Dose 3 — Moderna
-
2022-05-12
Dose 4 — Moderna
- 2022-05-12
-
2022-05-12
Survey response — day 0, dose 4MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Arm is sore around vaccine areaMedDRA releases: 2024-11 · check-in free text available
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2022-05-13
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Fair · Site: PainFree text: Arm is still soar in the muscle where I got the 2nd.Booster .MedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-17
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2022-05-19
Survey response — day 7, dose 4MedDRA: Productive cough, Rhinorrhoea — Feeling: Good · Site: ItchingFree text: Runny nose and coughing flim up in the morningsMedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-08-11
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2022-10-27
Dose 5 — Moderna
- 2022-10-27
- 2022-10-28
-
2022-10-29
Survey response — days 1–6 daily, dose 5MedDRA: Pain in extremity — Feeling: Fair · Fatigue or tirednessFree text: Arm just a little soreMedDRA releases: 2024-11 · check-in free text available
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2022-10-30
Survey response — days 1–6 daily, dose 5MedDRA: Muscle spasms — Feeling: FairFree text: Muscle cramps this morningMedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
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2022-11-10
Survey response — day 14, dose 5MedDRA: Productive cough — Feeling: FairFree text: Coughing alot of flim up latelyMedDRA releases: 2024-11 · check-in free text available
- 2022-11-18
- 2022-11-25
- 2022-12-01
- 2022-12-08
- 2023-01-28
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2023-04-27
Survey response — 6 months, dose 5MedDRA: Diarrhoea, Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-27
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-28
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2023-04-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
| 5 | 2022-10-27 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): The arm where the vaccine was given is sore to raise the arm.
Systemic reaction (other): Stomach was bothering me today , alittle chills overnight, all is ok though!
Systemic reaction (other): A little coughing out flim.
Release 7 — day 7, dose 1
Systemic reaction (other): Coughing flim up, could be a sinus issue.
Release 8 — day 7, dose 2
Systemic reaction (other): Running nose, slight cough today.
Release 11 — day 0, dose 4
Systemic reaction (other): Arm is sore around vaccine area
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Arm is still soar in the muscle where I got the 2nd.Booster .
Release 11 — day 7, dose 4
Systemic reaction (other): Runny nose and coughing flim up in the mornings
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Arm just a little sore
Systemic reaction (other): Muscle cramps this morning
Release 12 — day 14, dose 5
Symptoms: Coughing alot of flim up lately
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 | Diarrhoea | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release