52U-19411-18017
5 vaccinations
10 coded responses
59 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 479 / IN
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
-
2021-03-20
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Vaccination Arm a little bit ache-y.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Just a slightly ache-y arm, nothing seriousMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
-
2021-04-23
Dose 2 — Moderna
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Chills, Headache, Muscle or body achesAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
-
2021-04-30
Survey response — day 7, dose 2MedDRA: Tongue ulceration — Feeling: FairFree text: I have an ulcer on my tongue, but I don't think that is anything to do with COVID.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-29
- 2021-06-04
- 2021-07-23
- 2021-10-22
-
2021-10-31
Dose 3 — Moderna
- 2021-10-31
- 2021-11-02
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-09
- 2021-11-14
-
2021-11-21
Survey response — day 21, dose 3MedDRA: Myalgia — Feeling: GoodFree text: I am not sure this is related to COVID, but I do have some low level muscle pain when I do some exercise (not extreme exercise) -- might be the allergic-to-exercise response! Just mention it because it is a bit different to previous experiences.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
- 2021-12-05
- 2021-12-12
- 2022-01-30
-
2022-04-22
Dose 4 — Moderna
-
2022-04-22
Survey response — day 0, dose 4MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-05
- 2022-07-22
-
2022-10-10
Dose 5 — Moderna
- 2022-10-21
- 2022-10-21
- 2022-10-24
- 2022-10-31
-
2022-11-09
Survey response — day 28, dose 5MedDRA: Hypertension — Feeling: FairFree text: High blood pressureMedDRA releases: 2024-11 · check-in free text available
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2022-11-14
Survey response — day 35, dose 5MedDRA: Hypertension — Feeling: FairFree text: High blood pressure.MedDRA releases: 2024-11 · check-in free text available
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2023-01-09
Survey response — 3 months, dose 5MedDRA: Hypertension — 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 visit, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-01-09
Report sent to call center — 3 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 · Emergency room or emergency department visit · 1 call case(s)
- 2023-01-10
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-10-10 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Vaccination Arm a little bit ache-y.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Just a slightly ache-y arm, nothing serious
Systemic reaction (other): No
Systemic reaction (other): No
Release 8 — day 7, dose 2
Systemic reaction (other): I have an ulcer on my tongue, but I don't think that is anything to do with COVID.
Release 10 — day 21, dose 3
Symptoms: I am not sure this is related to COVID, but I do have some low level muscle pain when I do some exercise (not extreme exercise) -- might be the allergic-to-exercise response! Just mention it because it is a bit different to previous experiences.
Release 11 — day 0, dose 4
Systemic reaction (other): No
Release 12 — day 28, dose 5
Symptoms: High blood pressure
Release 12 — day 35, dose 5
Symptoms: High blood 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 |
|---|---|---|---|---|
| SD | Hypertension | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Tongue ulceration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release