627-14082-99901
2 vaccinations
8 coded responses
23 check-ins
8 free-text entries
1 call case
- 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
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2021-01-02
Dose 1 — Moderna
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2021-01-02
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Arm is slightly sore where I received the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · DiarrheaFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: A little soreness where I got the shot !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-16
- 2021-01-25
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2021-02-13
Dose 2 — Moderna
- 2021-02-13
- 2021-02-15
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Fair · HeadacheFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · HeadacheFree text: No !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · HeadacheFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-27
- 2021-03-06
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2021-03-13
Survey response — day 28, dose 2MedDRA: Cardiac flutter — Feeling: Fair · Be unable to do your normal daily activitiesFree text: It feels like my heart is fluttering ! It happens most of the time in early morning.Cannot imagine what could have causedIt to start ! I might call my doctor s office for An appointment !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-27
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2021-05-17
Survey response — 3 months, dose 2MedDRA: Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I am having bad arms, legs and feet pain !The pain came suddenly and is not going away! I have been to my primary care doctor but have found out nothing so far ! · Healthcare visit (other): In person with my doctor !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
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)
- 2021-08-14
- 2022-02-13
- 2022-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-02-13 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Arm is slightly sore where I received the shot
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): No
Systemic reaction (other): A little soreness where I got the shot !
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Headache
Systemic reaction (other): No !
Systemic reaction (other): No
Release 5 — day 28, dose 2
Symptoms: It feels like my heart is fluttering ! It happens most of the time in early morning.Cannot imagine what could have causedIt to start ! I might call my doctor s office for An appointment !
Release 8 — 3 months, dose 2
Symptoms: I am having bad arms, legs and feet pain !The pain came suddenly and is not going away! I have been to my primary care doctor but have found out nothing so far !
Healthcare visit (other): In person with my doctor !
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 | Cardiac flutter | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release