4Z9-14562-26760
4 vaccinations
6 coded responses
43 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 337 / FL
- Registered
- 2021-04-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-28
Registered in v-safe
-
2021-04-28
Dose 2 — Moderna
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-14
- 2021-05-21
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2021-05-26
Survey response — day 28, dose 2MedDRA: Injection site pain, Pain — Feeling: GoodFree text: Injections site pain came back a bit. It's a bit sore to touch and sometimes hurts when I move my arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
- 2021-06-12
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2021-10-27
Survey response — 6 months, dose 2MedDRA: Arthralgia, Injection site pain, Office visit, Rotator cuff syndrome — Feeling: Fair · 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: Symptoms: I've had pain at the injection site and in my left shoulder since my 2nd vaccination shot that is sometimes is better, sometimes gets worse, but has not completely gone away. Dr. suspected a rotator cuff injury but no confirmation. · Healthcare visit (other): Asked my regular Doctors about it.MedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Report sent to call center — 6 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)
- 2021-11-01
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2021-12-22
Dose 3 — Moderna
- 2021-12-22
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2021-12-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-12-25
Survey response — days 1–6 daily, dose 3MedDRA: Menstruation irregular, Vaccine positive rechallenge — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Have gotten my period a week early every covid vaccine which is very unusual and it's way worse than usual each time.MedDRA releases: 2024-11 · check-in free text available
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2021-12-26
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2021-12-27
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2021-12-28
Survey response — days 1–6 daily, dose 3MedDRA: Paranasal sinus discomfort — Feeling: Fair · Headache, Fatigue or tirednessFree text: Sinus pressureMedDRA releases: 2024-11 · check-in free text available
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-02-02
- 2022-03-28
- 2022-06-24
- 2022-12-23
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2023-01-31
Dose 4 — Moderna
- 2023-01-31
-
2023-02-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2023-02-02
- 2023-02-03
- 2023-02-04
- 2023-02-05
- 2023-02-06
- 2023-02-07
- 2023-02-14
- 2023-02-21
- 2023-02-28
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2023-03-11
Survey response — day 35, dose 4MedDRA: Menstruation irregular, Premenstrual syndrome, Vaccine positive rechallenge — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-03-15
- 2023-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-12-22 | Moderna | No |
| 4 | 2023-01-31 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — day 28, dose 2
Symptoms: Injections site pain came back a bit. It's a bit sore to touch and sometimes hurts when I move my arm.
Release 10 — 6 months, dose 2
Symptoms: I've had pain at the injection site and in my left shoulder since my 2nd vaccination shot that is sometimes is better, sometimes gets worse, but has not completely gone away. Dr. suspected a rotator cuff injury but no confirmation.
Healthcare visit (other): Asked my regular Doctors about it.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Have gotten my period a week early every covid vaccine which is very unusual and it's way worse than usual each time.
Systemic reaction (other): Dizziness
Systemic reaction (other): Sinus pressure
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 | Arthralgia | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Premenstrual syndrome | · | · | ✓ |
| SD | Rotator cuff syndrome | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Menstruation irregular | · | · | ✓ |
| SRO | Paranasal sinus discomfort | · | · | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release