4Y3-28046-73007
4 vaccinations
4 coded responses
36 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 938 / CA
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-17
Dose 1 — Moderna
-
2021-02-14
Registered in v-safe
-
2021-02-14
Dose 2 — Moderna
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal discomfort — Feeling: Good · Site: Pain · Joint painsFree text: From the side of my neck going down to my shoulder on the side of the shot mild discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: A very soft pain on the site of the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
-
2021-03-21
Survey response — day 35, dose 2MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 2 weeks after my second shot I started having some rash all over my body.I went 3 times to the doctor until the dermatologist confirmed me that it was a reaction of the Moderna vaccine last WednesdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-28
- 2021-05-16
- 2021-08-15
-
2021-10-26
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: I only had a very mild pain in the shot area for 24 hours. I feel great so farMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
-
2022-01-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-25
-
2022-04-04
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-07-04
- 2022-10-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-14 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-04 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): From the side of my neck going down to my shoulder on the side of the shot mild discomfort
Systemic reaction (other): A very soft pain on the site of the shot
Release 6 — day 35, dose 2
Symptoms: 2 weeks after my second shot I started having some rash all over my body.I went 3 times to the doctor until the dermatologist confirmed me that it was a reaction of the Moderna vaccine last Wednesday
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I only had a very mild pain in the shot area for 24 hours. I feel great so far
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 | Rash | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release