62R-21918-20529
5 vaccinations
3 coded responses
34 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 334 / FL
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-02
Registered in v-safe
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-15
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Redness and itching at injection site starting on day 10MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Survey response — day 21, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: On day 10 I awakened with the injection site red and itching. That has resolved leaving a quarter sized darker spot at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
-
2021-03-31
Dose 2 — Moderna
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-06-30
- 2021-09-29
-
2021-11-08
Dose 3 — Moderna
- 2022-04-02
-
2022-04-11
Dose 4 — Moderna
- 2022-04-30
-
2022-05-02
Survey response — day 21, dose 4MedDRA: Arthralgia, Arthritis, Chest discomfort, Cough, Lethargy, Office visit, Pain, Pre-existing disease, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Post nasal drainage, so in the morning I woke up with chest tightness, coughing and generally feeling lethargic for a couple of days.Arthritis became more painful. For the first time, an episode of severe pain related to spinal stenosis. · Healthcare visit (other): Dr's officeMedDRA releases: 2024-11 · check-in free text available
-
2022-05-02
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-03
- 2022-05-09
-
2022-05-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-16
- 2022-05-23
- 2022-07-11
-
2022-09-14
Dose 5 — Moderna
- 2022-10-02
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
| 5 | 2022-09-14 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 14, dose 1
Symptoms: Redness and itching at injection site starting on day 10
Release 6 — day 21, dose 1
Symptoms: On day 10 I awakened with the injection site red and itching. That has resolved leaving a quarter sized darker spot at the injection site.
Release 11 — day 21, dose 4
Symptoms: Post nasal drainage, so in the morning I woke up with chest tightness, coughing and generally feeling lethargic for a couple of days.Arthritis became more painful. For the first time, an episode of severe pain related to spinal stenosis.
Healthcare visit (other): Dr's office
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 | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release