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62N-17465-01057

4 vaccinations 9 coded responses 48 check-ins 9 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
350 / AL
Registered
2021-02-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-24
    Registered in v-safe
  2. 2021-02-24
    Dose 1 — Moderna
  3. 2021-02-24
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  5. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  7. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-03
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  11. 2021-03-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-24
    Dose 2 — Moderna
  14. 2021-03-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches
    Adult check-in
  17. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  18. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Epistaxis, Limb discomfort — Feeling: Good · Site: Pain
    Free text: I have had bloody discharge from nose for 2-3 days. I have never had this problem before. I also have what looks like outputs on left upper leg and lower right leg. Dont know cause of either.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Epistaxis, Erythema — Feeling: Good
    Free text: Nose bleeds have ended. Reddish marks remain on legs. (Cause?).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Rash still on legs. Told by nurse practitioner it is from vaccination. She has seen others.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-31
    Survey response — day 7, dose 2
    MedDRA: Erythema, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: My legs began hurting much greater than normal last night and it is even worse today. Reddish patches are fading.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-14
    Survey response — day 21, dose 2
    MedDRA: Herpes zoster, Unevaluable event, Vaccine positive rechallenge — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: After the first vaccination I had a small outbreak of recurring shingles. Didnt think much about it because I do have them maybe every 9-10 months. Took medication and all cleared. Then after 2nd vaccination I have now broken out in a larger patch · Healthcare visit (other): Refill of medication
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-14
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-04-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-09-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-10-22
    Dose 3 — Moderna
  31. 2021-10-22
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site mass — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Lump at injection site
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  34. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  35. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  36. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Herpes zoster, Office visit, Vaccine positive rechallenge — Feeling: Good · Site: Pain
    Free text: Small outbreak of shingles. Had same occurrence 2-3 times after second vaccination. Doctor thinks it's related to vaccination. I had no outbreaks (after clearing up) during months between 2nd and 3rd vaccination.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-10-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-12
    Survey response — day 21, dose 3
    MedDRA: Epistaxis, Vaccine positive rechallenge — Feeling: Good
    Free text: Slight nose bleed two days. Same thing happened after second vaccination b
    MedDRA releases: 2024-11 · check-in free text available
  41. 2021-11-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-12-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-01-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-02-22
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  46. 2022-04-07
    Dose 4 — Moderna
  47. 2022-04-15
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-04-21
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-04-28
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-05-05
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-05-12
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-05-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-07-07
    Survey response — 3 months, dose 4
    MedDRA: Arthralgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Joints, especially knees and fingers are aching a lot and very painful. · Healthcare visit (other): Pain Clinic
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-07-07
    Report sent to call center — 3 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  55. 2022-07-08
  56. 2022-07-08
  57. 2022-10-06
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  58. 2023-04-08
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Moderna
22021-03-24Moderna
32021-10-22Moderna No
42022-04-07Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): I have had bloody discharge from nose for 2-3 days. I have never had this problem before. I also have what looks like outputs on left upper leg and lower right leg. Dont know cause of either.

2021-03-29

Systemic reaction (other): Nose bleeds have ended. Reddish marks remain on legs. (Cause?).

2021-03-30

Systemic reaction (other): Rash still on legs. Told by nurse practitioner it is from vaccination. She has seen others.

Release 6 — day 7, dose 2

2021-03-31

Systemic reaction (other): My legs began hurting much greater than normal last night and it is even worse today. Reddish patches are fading.

Release 7 — day 21, dose 2

2021-04-14

Symptoms: After the first vaccination I had a small outbreak of recurring shingles. Didnt think much about it because I do have them maybe every 9-10 months. Took medication and all cleared. Then after 2nd vaccination I have now broken out in a larger patch
Healthcare visit (other): Refill of medication

Release 10 — days 1–6 daily, dose 3

2021-10-23

Systemic reaction (other): Lump at injection site

2021-10-27

Systemic reaction (other): Small outbreak of shingles. Had same occurrence 2-3 times after second vaccination. Doctor thinks it's related to vaccination. I had no outbreaks (after clearing up) during months between 2nd and 3rd vaccination.

Release 10 — day 21, dose 3

2021-11-12

Symptoms: Slight nose bleed two days. Same thing happened after second vaccination b

Release 12 — 3 months, dose 4

2022-07-07

Symptoms: Joints, especially knees and fingers are aching a lot and very painful.
Healthcare visit (other): Pain Clinic

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDArthralgia · · ✓
SDEpistaxis · · ✓
SDHerpes zoster ✓ ✓ ✓
SDVaccine positive rechallenge ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROHerpes zoster · · ✓
SROInjection site mass · · ✓
SROLimb discomfort ✓ ✓ ✓
SROOffice visit · · ✓
SROPain in extremity ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROVaccine positive rechallenge · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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