5Q8-20534-43286
3 vaccinations
3 coded responses
34 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 210 / MD
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
7NT-19182-37293
Child or adolescent in my care · Female · 2021-12-05
4GK-31378-43105
Child or adolescent in my care · Male · 2021-12-05
Timeline
-
2021-04-08
Registered in v-safe
-
2021-04-08
Dose 1 — Moderna
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
-
2021-04-22
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site warmth, Pain in extremity — Feeling: GoodFree text: Warm red circle near the injection site 8 days after my first shot. Additionally, my arm was sore again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
-
2021-05-06
Dose 2 — Moderna
- 2021-05-06
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-20
-
2021-05-27
Survey response — day 21, dose 2MedDRA: Chills, Myalgia, Upper respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Allergies that likened some symptoms to COVID (stuffy head, horrible muscle aches, chills), but had a negative rapid test on 5/25/21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-27
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-08-05
- 2021-11-04
-
2021-11-27
Dose 3 — Moderna
-
2021-12-05
Survey response — day 7, dose 3MedDRA: Axillary pain, Chills, Myalgia, Oedema peripheral, Pyrexia — Feeling: GoodFree text: After my booster, I experienced chills and major muscle pain for about 10 hours, along with a mild fever. Additionally, for three days post booster I had swelling in my left armpit (the arm I received the shot) and it was quite sore.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-02-26
- 2022-04-27
- 2022-05-28
- 2022-11-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-06 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — day 14, dose 1
Symptoms: Warm red circle near the injection site 8 days after my first shot. Additionally, my arm was sore again.
Release 8 — day 21, dose 2
Symptoms: Allergies that likened some symptoms to COVID (stuffy head, horrible muscle aches, chills), but had a negative rapid test on 5/25/21.
Release 10 — day 7, dose 3
Systemic reaction (other): After my booster, I experienced chills and major muscle pain for about 10 hours, along with a mild fever. Additionally, for three days post booster I had swelling in my left armpit (the arm I received the shot) and it was quite sore.
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 |
|---|---|---|---|---|
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ○ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Upper respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release