5GT-12144-01234
4 vaccinations
4 coded responses
32 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 379 / TN
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
- 2021-01-02
-
2021-01-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
-
2021-01-16
Survey response — day 14, dose 1MedDRA: Injected limb mobility decreased, Injection site pruritus, Injection site rash, Injection site swelling — Feeling: GoodFree text: After last report, my arm around vaccine site became red, slightly swollen, itchy, and a rash developed. This lasted several days and is now fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-30
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-02
- 2021-03-08
- 2021-03-15
-
2021-05-03
Survey response — 3 months, dose 2MedDRA: Arthralgia, Gait disturbance, Joint swelling, Pain in extremity — 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 visitFree text: Unexplained pain in my right foot in particular. Swelling, ankle pain, difficulty walking.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-02
Survey response — 6 months, dose 2MedDRA: Arthritis, Inflammation, Office visit, Uveitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Uveitis right eye and inflammation of right foot and ankle. · Healthcare visit (other): Several and continuing visits with doctors.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-02
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-04
-
2021-09-09
Dose 3 — Moderna
- 2022-02-01
-
2022-09-15
Dose 4 — Moderna
-
2022-10-03
Survey response — day 14, dose 4MedDRA: Diverticulitis, Large intestine perforation, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Ankle swelling March 2020; uveitis for the first time July 2020; punctured colon diverticulitis June 2022MedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Report sent to call center — day 14, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-10-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-09-09 | Moderna | No |
| 4 | 2022-09-15 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 2 — day 14, dose 1
Symptoms: After last report, my arm around vaccine site became red, slightly swollen, itchy, and a rash developed. This lasted several days and is now fine.
Release 8 — 3 months, dose 2
Symptoms: Unexplained pain in my right foot in particular. Swelling, ankle pain, difficulty walking.
Release 9 — 6 months, dose 2
Symptoms: Uveitis right eye and inflammation of right foot and ankle.
Healthcare visit (other): Several and continuing visits with doctors.
Release 12 — day 14, dose 4
Symptoms: Ankle swelling March 2020; uveitis for the first time July 2020; punctured colon diverticulitis June 2022
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 | Office visit | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | · | ✓ |
| SD | Diverticulitis | · | · | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | · | ✓ |
| SD | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Large intestine perforation | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Uveitis | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release