5HD-29494-64398
3 vaccinations
14 coded responses
32 check-ins
14 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 66+
- ZIP prefix
- 303 / GA
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-03-01
Registered in v-safe
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2021-03-01
Dose 1 — Moderna
- 2021-03-01
- 2021-03-02
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Tension — Feeling: Good · Site: Pain · Muscle or body achesFree text: Injection site still sore, left neck, shoulder are more tenseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Fatigue or tirednessFree text: Some residual pain area shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
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2021-03-15
Survey response — day 14, dose 1MedDRA: Myalgia, Sleep deficit — Feeling: FairFree text: Aches in muscles, probably because time chg, not enough sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: VERY TiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Dose 2 — Moderna
- 2021-03-29
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Fall, Limb injury — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: I fell & hurt my hands & left shoulder.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Seasonal allergy — Feeling: Good · HeadacheFree text: Pollen allergy causes headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Pre-existing disease — Feeling: Good · Site: PainFree text: Allergies to spring = tight chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: Allergies to pollen. I was a premie @ 2.lbs 14 ozMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: N OMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
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2021-06-28
Survey response — 3 months, dose 2MedDRA: Asthma, Pre-existing disease, Specialist consultation — 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: Symptoms: ALLERGIES Exerbated Asthma Attack · Healthcare visit (other): ALLergy DR alsoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-28
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)
- 2021-07-05
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2021-09-27
Survey response — 6 months, dose 2MedDRA: Haematuria, Spinal fracture — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Spine fracture @ T-12, blood in urine. No Dr results yet. Will get booster if merdera available.MedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Dose 3 — Moderna
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2021-11-14
Survey response — day 7, dose 3MedDRA: Influenza like illness — Feeling: Fair · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: on 11-2-21 during the night & next day just flu like symptomsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-24
- 2021-11-30
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2021-12-07
Survey response — day 35, dose 3MedDRA: Spinal pain, Thoracic vertebral fracture — Feeling: Fair · Be unable to do your normal daily activitiesFree text: fracture at t 11-12 pain too much activity & weather changeMedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2022-02-02
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2022-05-03
Survey response — 6 months, dose 3MedDRA: Mammoplasty — Feeling: Good · Be unable to do your normal daily activitiesFree text: Breast reduction surgery.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site still sore, left neck, shoulder are more tense
Systemic reaction (other): Some residual pain area shot
Release 5 — day 14, dose 1
Symptoms: Aches in muscles, probably because time chg, not enough sleep
Release 6 — day 21, dose 1
Symptoms: VERY Tired
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I fell & hurt my hands & left shoulder.
Systemic reaction (other): Pollen allergy causes headache
Systemic reaction (other): Allergies to spring = tight chest
Systemic reaction (other): Allergies to pollen. I was a premie @ 2.lbs 14 oz
Release 6 — day 7, dose 2
Systemic reaction (other): N O
Release 9 — 3 months, dose 2
Release 9 — 6 months, dose 2
Symptoms: Spine fracture @ T-12, blood in urine. No Dr results yet. Will get booster if merdera available.
Release 10 — day 7, dose 3
Systemic reaction (other): on 11-2-21 during the night & next day just flu like symptoms
Release 10 — day 35, dose 3
Symptoms: fracture at t 11-12 pain too much activity & weather change
Release 11 — 6 months, dose 3
Symptoms: Breast reduction surgery.
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 | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Haematuria | · | · | ✓ |
| SD | Mammoplasty | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sleep deficit | ✓ | ✓ | ✓ |
| SD | Spinal fracture | · | · | ✓ |
| SD | Spinal pain | · | · | ✓ |
| SD | Thoracic vertebral fracture | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Fall | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Limb injury | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Seasonal allergy | ✓ | ✓ | ✓ |
| SRO | Tension | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release