58U-21009-29999
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 021 / MA
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
-
2021-01-12
Survey response — day 7, dose 1MedDRA: Injection site pain, Injection site swelling, Medical observation, Skin warm — Feeling: Fair · Site: Pain, Swelling · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Injection site new pain and swelling. Firm and bulbous section 3 inches all around site. Warm to the touch. Caused me to loose sleep last night. Between day 6-7. This had gone away but came back on day 6! Reported to Moderna too who said a return of symptoms at day 7 is common. · Healthcare visit (other): Called MD and emailed. Did not hear back yet as i missed nurse's call.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-19
- 2021-01-26
-
2021-02-01
Dose 2 — Moderna
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased, Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: Rapid heart rate, insomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-09
- 2021-02-15
- 2021-02-22
-
2021-02-25
Call successfulCompleted over the phone
- 2021-03-02
- 2021-03-08
- 2021-03-15
- 2021-05-03
- 2021-08-02
-
2022-02-02
Survey response — 12 months, dose 2MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid positive test 11/29/21MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-01 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Injection site new pain and swelling. Firm and bulbous section 3 inches all around site. Warm to the touch. Caused me to loose sleep last night. Between day 6-7. This had gone away but came back on day 6! Reported to Moderna too who said a return of symptoms at day 7 is common.
Healthcare visit (other): Called MD and emailed. Did not hear back yet as i missed nurse's call.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Rapid heart rate, insomnia
Release 11 — 12 months, dose 2
Symptoms: Covid positive test 11/29/21
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 | Medical observation | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release