4Z2-20923-00642
4 vaccinations
5 coded responses
49 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 479 / IN
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
-
2021-03-19
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site warmth — Feeling: GoodFree text: I had a mild case of COVID arm: redness and warmth near the injection site that began on day 9 after the vaccine. It went away after 4 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body achesAdult check-in
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymph node pain — Feeling: Good · Site: PainFree text: Sore armpit/auxillary lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: GoodFree text: Still a slight pinching feeling/soreness in my armpit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
- 2021-10-08
-
2021-12-06
Dose 3 — Moderna
- 2021-12-06
-
2021-12-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Immunisation reaction, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain, Redness, ItchingFree text: I seem to be developing COVID vaccine arm near the injection site. I had this after my first dose but not after the second.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-03-07
- 2022-06-06
-
2022-09-15
Dose 4 — Moderna
- 2022-09-25
- 2022-09-29
- 2022-10-06
- 2022-10-13
-
2022-10-20
Survey response — day 35, dose 4MedDRA: Bacterial infection, Facial pain, Office visit, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sinusitis, Viral infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have a sinus infection with congestion, runny nose, and facial pain. I have tested negative for COVID at least 4 times, so this is due to another virus and subsequent bacterial infection. · Healthcare visit (other): regular in-person primary care doctor visitMedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-10-21
-
2022-10-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-12-06 | Moderna | No |
| 4 | 2022-09-15 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 14, dose 1
Symptoms: I had a mild case of COVID arm: redness and warmth near the injection site that began on day 9 after the vaccine. It went away after 4 days.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sore armpit/auxillary lymph node
Systemic reaction (other): Still a slight pinching feeling/soreness in my armpit.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I seem to be developing COVID vaccine arm near the injection site. I had this after my first dose but not after the second.
Release 12 — day 35, dose 4
Symptoms: I have a sinus infection with congestion, runny nose, and facial pain. I have tested negative for COVID at least 4 times, so this is due to another virus and subsequent bacterial infection.
Healthcare visit (other): regular in-person primary care doctor visit
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 | Bacterial infection | · | · | ✓ |
| SD | Facial pain | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release