5R8-77175-75333
5 vaccinations
6 coded responses
46 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 946 / CA
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-02-21
Registered in v-safe
-
2021-02-21
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Abdominal painAdult check-in
- 2021-02-27
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
-
2021-03-11
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body aches, NauseaAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-20
- 2021-03-25
-
2021-04-01
Survey response — day 21, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Mild Sore throat is new.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
-
2021-04-15
Survey response — day 35, dose 2MedDRA: Rash, Rash pruritic — Feeling: GoodFree text: Itchy Rash on the inside of elbow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-06-10
- 2021-09-09
-
2021-11-01
Dose 3 — Moderna
- 2021-11-16
- 2021-11-22
- 2021-11-29
-
2021-12-06
Survey response — day 35, dose 3MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Arthritis pain is greater. Could be weather related. It's supposed to rain today.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2022-01-31
-
2022-04-18
Dose 4 — Moderna
- 2022-04-19
-
2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Fever · NoneAdult check-in
-
2022-04-25
Survey response — day 7, dose 4MedDRA: Body temperature increased, Feeling of body temperature change, Hot flush — Feeling: Good · FeverFree text: I feel hot and temp goes up. Then I get cold. I feel like I'm having hot flashes again.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-09
-
2022-05-16
Survey response — day 28, dose 4MedDRA: Erythema, Hospitalisation, Rash — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Super red blushing and rash in arms, legs and feet and little on face. I had a cortisone shot in left knee but doc doesn't think it was from that. Back in August I had cortisone shots in both knees with no redness or rash. · Healthcare visit (other): I was scheduled for knee replacement and doctor put it on hold. I was in pre-op in hospital.MedDRA releases: 2024-11 · check-in free text available
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2022-05-16
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-17
Call successfulNot applicable - Accidental Reporting
- 2022-05-23
- 2022-05-30
-
2022-07-20
Survey response — 3 months, dose 4MedDRA: Knee arthroplasty, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Had knee replacement surgery · Healthcare visit (other): One dayMedDRA releases: 2024-11 · check-in free text available
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2022-07-20
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
-
2022-07-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-14
Dose 5 — Moderna
-
2022-10-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body achesAdult check-in
-
2022-10-17
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-18
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Swelling · Muscle or body achesAdult check-in
-
2022-10-19
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Swelling · Joint pains, Muscle or body achesAdult check-in
- 2022-10-20
- 2022-10-21
- 2022-10-30
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-27
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
| 5 | 2022-10-14 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — day 21, dose 2
Symptoms: Mild Sore throat is new.
Release 7 — day 35, dose 2
Symptoms: Itchy Rash on the inside of elbow.
Release 10 — day 35, dose 3
Symptoms: Arthritis pain is greater. Could be weather related. It's supposed to rain today.
Release 11 — day 7, dose 4
Systemic reaction (other): I feel hot and temp goes up. Then I get cold. I feel like I'm having hot flashes again.
Release 11 — day 28, dose 4
Symptoms: Super red blushing and rash in arms, legs and feet and little on face. I had a cortisone shot in left knee but doc doesn't think it was from that. Back in August I had cortisone shots in both knees with no redness or rash.
Healthcare visit (other): I was scheduled for knee replacement and doctor put it on hold. I was in pre-op in hospital.
Release 12 — 3 months, dose 4
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 | Hospitalisation | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Knee arthroplasty | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Feeling of body temperature change | · | · | ✓ |
| SRO | Hot flush | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release