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5BC-27813-09807

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
193 / PA
Registered
2021-02-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-17
    Registered in v-safe
  2. 2021-02-17
    Dose 1 — Moderna
  3. 2021-02-17
    Survey response — day 0, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: Slight ache at injection sight
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Sore upper arm muscle at injection sight. Taking Ibuprophen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  6. 2021-02-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia, Paraesthesia — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Muscle pain in arm mostly good. Sensitivity to tpuch greatly reduced today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  8. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-17
    Dose 2 — Moderna
  14. 2021-03-17
    Survey response — day 0, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: No slightly sore arm at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore upper arm that had injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Pyrexia — Feeling: Good · Site: Pain
    Free text: Chills lasted all dau yesterday. After I reported in yesterday I developed a low grade. Fever was gone by 9pm fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast pain, Breast tenderness, Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Noticed a sore breast same side as injetion site . If pressed to chest wall there is some tenderness. Possible node swelling????
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  19. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-31
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-09
    Dose 3 — Moderna
  30. 2022-03-17
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-11-09
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Influenza — Feeling: Good · Be unable to do your normal daily activities
    Free text: Oct 9, 2022 Flu symptoms Covid positive
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Moderna
22021-03-17Moderna
32021-11-09Moderna No

Free text

Release 4 — day 0, dose 1

2021-02-17

Systemic reaction (other): Slight ache at injection sight

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Sore upper arm muscle at injection sight. Taking Ibuprophen.

2021-02-20

Systemic reaction (other): Muscle pain in arm mostly good. Sensitivity to tpuch greatly reduced today.

Release 5 — day 0, dose 2

2021-03-17

Systemic reaction (other): No slightly sore arm at injection site

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Sore upper arm that had injection

2021-03-19

Systemic reaction (other): Chills lasted all dau yesterday. After I reported in yesterday I developed a low grade. Fever was gone by 9pm fever

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Noticed a sore breast same side as injetion site . If pressed to chest wall there is some tenderness. Possible node swelling????

Release 12 — 12 months, dose 3

2022-11-09

Symptoms: Oct 9, 2022 Flu symptoms Covid positive

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
SDCOVID-19 · · ✓
SDInfluenza · · ✓
SROBreast pain ✓ ✓ ✓
SROBreast tenderness ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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