5L5-17007-16811
3 vaccinations
4 coded responses
21 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 190 / PA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Registered in v-safe
-
2021-04-05
Dose 1 — Moderna
- 2021-04-05
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Pain down my arm just starting now. Not unbearable but noticeable when typing on my laptop so that have to stop for a bit. Again not that bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-10
- 2021-04-11
- 2021-04-13
- 2021-04-19
- 2021-04-26
-
2021-05-03
Dose 2 — Moderna
- 2021-05-03
- 2021-05-10
-
2021-05-17
Survey response — day 14, dose 2MedDRA: Fatigue, Oropharyngeal pain — Feeling: FairFree text: Tired, slight sore throat today but not bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-14
- 2021-08-02
- 2021-11-01
-
2021-11-20
Dose 3 — Moderna
-
2022-05-03
Survey response — 12 months, dose 2MedDRA: Discomfort, Dysphonia, Office visit, Pruritus, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I got very itchy with mild hives/raspiness two weeks after my booster shot that took several weeks to subside. Itchiness was all over but mainly arms, legs and top of feet. Very uncomfortable and drove me crazy. · Healthcare visit (other): Primary care doctor visitMedDRA releases: 2024-11 · check-in free text available
-
2022-05-03
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-04
- 2022-05-21
-
2022-11-21
Survey response — 12 months, dose 3MedDRA: Influenza — Feeling: PoorFree text: FluMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-03 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Pain down my arm just starting now. Not unbearable but noticeable when typing on my laptop so that have to stop for a bit. Again not that bad.
Release 8 — day 14, dose 2
Symptoms: Tired, slight sore throat today but not bad.
Release 11 — 12 months, dose 2
Symptoms: I got very itchy with mild hives/raspiness two weeks after my booster shot that took several weeks to subside. Itchiness was all over but mainly arms, legs and top of feet. Very uncomfortable and drove me crazy.
Healthcare visit (other): Primary care doctor visit
Release 12 — 12 months, dose 3
Symptoms: Flu
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 | Discomfort | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release