69W-41102-81880
3 vaccinations
9 coded responses
41 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 665 / KS
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
-
2021-01-19
Survey response — day 7, dose 1MedDRA: Tenderness — Feeling: GoodFree text: Small bruise-like feeling near arm pit of arm where I received the vaccine. I could not palpate a lump or swollen area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
-
2021-02-02
Survey response — day 21, dose 1MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Good · Be unable to workFree text: Nasal congestion and runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Dose 2 — Moderna
-
2021-02-09
Survey response — day 0, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: Light Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
-
2021-08-10
Survey response — 6 months, dose 2MedDRA: Chest pain, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Palpitations and occasional twinges of pain in my chestMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-10
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-17
-
2021-12-29
Dose 3 — Pfizer-BioNTech
- 2021-12-29
-
2021-12-30
Survey response — days 1–6 daily, dose 3MedDRA: Neuralgia — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Mild nerve pain in wrist of the arm where vaccine was givenMedDRA releases: 2024-11 · check-in free text available
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2021-12-31
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: PainFree text: Swelling and pain in left arm pit area (received vaccine in left arm)MedDRA releases: 2024-11 · check-in free text available
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2022-01-01
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: GoodFree text: Very minimal pain in left arm pit where swelling was yesterdayMedDRA releases: 2024-11 · check-in free text available
- 2022-01-02
- 2022-01-03
- 2022-01-04
- 2022-01-05
- 2022-01-12
- 2022-01-21
- 2022-01-26
- 2022-02-02
- 2022-02-09
- 2022-03-30
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2022-06-29
Survey response — 6 months, dose 3MedDRA: Chest pain — Feeling: FairFree text: Occasional chest painsMedDRA releases: 2024-11 · check-in free text available
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2022-12-29
Survey response — 12 months, dose 3MedDRA: Chest discomfort, Chest pain — Feeling: GoodFree text: Twinges of pain or discomfort in chest that are very short lastingMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-12-29 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Small bruise-like feeling near arm pit of arm where I received the vaccine. I could not palpate a lump or swollen area.
Release 3 — day 21, dose 1
Symptoms: Nasal congestion and runny nose
Release 3 — day 0, dose 2
Systemic reaction (other): Light Brain fog
Release 9 — 6 months, dose 2
Symptoms: Palpitations and occasional twinges of pain in my chest
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Mild nerve pain in wrist of the arm where vaccine was given
Systemic reaction (other): Swelling and pain in left arm pit area (received vaccine in left arm)
Systemic reaction (other): Very minimal pain in left arm pit where swelling was yesterday
Release 12 — 6 months, dose 3
Symptoms: Occasional chest pains
Release 12 — 12 months, dose 3
Symptoms: Twinges of pain or discomfort in chest that are very short lasting
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 |
|---|---|---|---|---|
| SD | Chest discomfort | · | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release