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56R-27139-58974

5 vaccinations 9 coded responses 31 check-ins 8 free-text entries 4 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
665 / KS
Registered
2021-02-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-02-24
    Registered in v-safe
  3. 2021-02-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-02-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-26
    Dose 2 — Moderna
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  8. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  10. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-28
    Survey response — 3 months, dose 2
    MedDRA: Dropped head syndrome, Muscular weakness, Posture abnormal — Feeling: Good
    Free text: I am having problems with my neck. It has been weak and hard to hold my head up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-08-28
    Survey response — 6 months, dose 2
    MedDRA: Neck pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Problems with my neck hurting and leaning to the left. · Healthcare visit (other): Several dr visits & tests
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-08-28
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-10-29
    Dose 3 — Moderna
  19. 2021-12-13
  20. 2022-02-26
    Survey response — 12 months, dose 2
    MedDRA: Feeling abnormal, Nasopharyngitis — Feeling: Good
    Free text: At the end of 2021 my husband and I got bad colds from two of our grandchildren They we're all tested for Covid, as was another son and my husband. All were negative. I was not tested; I felt too bad to go and get tested. We are all okay now.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-04-14
    Dose 4 — Moderna
  22. 2022-05-01
    Survey response — day 14, dose 4
    MedDRA: Arthralgia, Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Right knee that has no cartilage has been acting up and has been really painful. · Healthcare visit (other): Cortisone & lidocaine shot
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-05-01
    Report sent to call center — day 14, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  24. 2022-05-02
  25. 2022-05-07
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  26. 2022-05-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-05-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-07-16
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  30. 2022-10-13
    Survey response — 6 months, dose 4
    MedDRA: Condition aggravated, Hypertension, Office visit, Pre-existing disease, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: A worsening of my overactive bladder problems; and a urinary tract infectionbeing treated. A higher blood pressure flare up; being treated. · Healthcare visit (other): Actual visit with Nurse Practitioner and in-person visit with my doctor.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-10-13
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  32. 2022-10-14
  33. 2022-10-14
  34. 2022-10-14
  35. 2022-10-20
  36. 2022-10-20
  37. 2022-11-01
    Dose 5 — Moderna
    Co-administered: Flu
  38. 2022-11-04
    Survey response — days 1–6 daily, dose 5
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: These symptoms on Nov. 1 after shot.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-11-06
    Survey response — days 1–6 daily, dose 5
    MedDRA: Pre-existing disease — Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Post polio, fibromyalgia, hpn, more
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-11-09
    Health check-in — day 7, dose 5
    Feeling: Good · Site: Itching · None
    Adult check-in
  41. 2022-11-15
    Survey response — day 14, dose 5
    MedDRA: Arthralgia, Arthropathy, Pain — Feeling: Fair
    Free text: I have been having lots of pain the last few days and my right bone-on-bone knee has also been hurting also.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-11-23
    Health check-in — day 21, dose 5
    Feeling: Fair
    Adult check-in
  43. 2022-11-29
    Health check-in — day 28, dose 5
    Feeling: Fair
    Adult check-in
  44. 2022-12-07
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  45. 2022-12-14
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  46. 2023-02-01
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  47. 2023-05-03
    Survey response — 6 months, dose 5
    MedDRA: Arthritis, Hypertonic bladder, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  48. 2023-05-03
    Report sent to call center — 6 months, dose 5
    Get care from a doctor or other healthcare professional
    1 call case(s)
  49. 2023-05-04
  50. 2023-05-04
  51. 2023-05-04
  52. 2023-05-04

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-26Moderna
32021-10-29Moderna No
42022-04-14Moderna No
52022-11-01Moderna Flu

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: I am having problems with my neck. It has been weak and hard to hold my head up.

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Problems with my neck hurting and leaning to the left.
Healthcare visit (other): Several dr visits & tests

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: At the end of 2021 my husband and I got bad colds from two of our grandchildren They we're all tested for Covid, as was another son and my husband. All were negative. I was not tested; I felt too bad to go and get tested. We are all okay now.

Release 11 — day 14, dose 4

2022-05-01

Symptoms: Right knee that has no cartilage has been acting up and has been really painful.
Healthcare visit (other): Cortisone & lidocaine shot

Release 12 — 6 months, dose 4

2022-10-13

Symptoms: A worsening of my overactive bladder problems; and a urinary tract infectionbeing treated. A higher blood pressure flare up; being treated.
Healthcare visit (other): Actual visit with Nurse Practitioner and in-person visit with my doctor.

Release 12 — days 1–6 daily, dose 5

2022-11-04

Systemic reaction (other): These symptoms on Nov. 1 after shot.

2022-11-06

Systemic reaction (other): Post polio, fibromyalgia, hpn, more

Release 12 — day 14, dose 5

2022-11-15

Symptoms: I have been having lots of pain the last few days and my right bone-on-bone knee has also been hurting also.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
HCVOUnevaluable event · · ✓
SDArthralgia · · ✓
SDArthritis · · ✓
SDArthropathy · · ✓
SDCondition aggravated · · ✓
SDDropped head syndrome ○ ✓ ○
SDFeeling abnormal · · ✓
SDHypertension · · ✓
SDHypertonic bladder · · ✓
SDMuscular weakness ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDNeck pain ✓ · ✓
SDPain · · ✓
SDPosture abnormal ✓ · ✓
SDPre-existing disease · · ✓
SDUrinary tract infection · · ✓
SROAdverse reaction · · ✓
SROPre-existing disease · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release