52C-19919-75215
4 vaccinations
4 coded responses
39 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 339 / FL
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Dose 1 — Moderna
-
2021-01-25
Registered in v-safe
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
-
2021-02-07
Survey response — day 14, dose 1MedDRA: Medical counselling, Pain, Pain in extremity, Rash, Vaccination site rash — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Oval rash neat vaccine injection and pain in right arm · Healthcare visit (other): Contacted my physician via patient portal. She advised qait for 4 days and use cold compress. That alleviated pain, however rash lasted about a 6 daysoatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-14
-
2021-02-21
Dose 2 — Moderna
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Insomnia — Feeling: Good · Site: Swelling · Headache · Be unable to do your normal daily activitiesFree text: Sleeplessness combined with headache entire night on the night vaccine was receivedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
-
2021-03-07
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: GoodFree text: A bit tired. Maybe wearing mask too much.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
-
2021-05-24
Survey response — 3 months, dose 2MedDRA: Aphthous ulcer, Arthritis, Magnetic resonance imaging, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Canker sore, arthritis in my feet. All has disappeared and improved. · Healthcare visit (other): Appointment with podiatrist and MRIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-24
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-21
-
2021-06-22
Call successfulDoes not wish to fill out VAERS report
- 2021-08-22
-
2021-10-27
Dose 3 — Moderna
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-02
- 2021-12-10
- 2022-01-26
- 2022-04-27
-
2022-05-07
Dose 4 — Moderna
- 2022-05-19
- 2022-05-21
- 2022-05-28
- 2022-06-04
- 2022-06-11
- 2022-06-19
- 2022-08-08
- 2022-11-05
- 2023-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-21 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-05-07 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — day 14, dose 1
Symptoms: Oval rash neat vaccine injection and pain in right arm
Healthcare visit (other): Contacted my physician via patient portal. She advised qait for 4 days and use cold compress. That alleviated pain, however rash lasted about a 6 daysoat
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sleeplessness combined with headache entire night on the night vaccine was received
Release 5 — day 14, dose 2
Symptoms: A bit tired. Maybe wearing mask too much.
Release 8 — 3 months, dose 2
Symptoms: Canker sore, arthritis in my feet. All has disappeared and improved.
Healthcare visit (other): Appointment with podiatrist and MRI
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 | Magnetic resonance imaging | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Pain | ✓ | ✓ | ✓ |
| HCVO | Rash | ✓ | ✓ | ✓ |
| SD | Aphthous ulcer | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Vaccination site rash | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release