67C-10574-07348
4 vaccinations
5 coded responses
47 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 229 / VA
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-09
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Malaise — Feeling: Fair · Site: PainFree text: Generally don't feel wellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to workFree text: My normal temp is typically low 97s, so when its over 98, I dine feel wellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
-
2021-11-12
Dose 3 — Moderna
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-15
-
2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Injection site discomfort — Feeling: Good · Site: PainFree text: I'm not having pain at the injections site. I'm still having a bit of discomfort in my armpit/pecMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 21, dose 3MedDRA: Musculoskeletal discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I've been experiencing neck and shoulder discomfort since the booster. I thought it would go, but it has not. · Healthcare visit (other): ChiropractorMedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-07
- 2021-12-10
- 2021-12-19
- 2021-12-24
- 2022-02-13
-
2022-05-06
Dose 4 — Pfizer-BioNTech
- 2022-05-13
-
2022-05-13
Survey response — day 7, dose 4MedDRA: Arthralgia, Fatigue — Feeling: GoodFree text: After 24+ hours I had mild joint soreness and tiredness. I was fine the next morningMedDRA releases: 2024-11 · check-in free text available
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-08-05
- 2022-11-04
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-05-06 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Generally don't feel well
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): My normal temp is typically low 97s, so when its over 98, I dine feel well
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I'm not having pain at the injections site. I'm still having a bit of discomfort in my armpit/pec
Release 10 — day 21, dose 3
Symptoms: I've been experiencing neck and shoulder discomfort since the booster. I thought it would go, but it has not.
Healthcare visit (other): Chiropractor
Release 11 — day 7, dose 4
Systemic reaction (other): After 24+ hours I had mild joint soreness and tiredness. I was fine the next morning
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 | Musculoskeletal discomfort | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site discomfort | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release