6AT-21380-20770
5 vaccinations
5 coded responses
37 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 945 / CA
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
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2021-02-27
Dose 2 — Moderna
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
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2021-05-29
Survey response — 3 months, dose 2MedDRA: Bursitis — Feeling: GoodFree text: One bout of hand busitis. It lasted a few days then subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-28
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2021-09-24
Dose 3 — ModernaCo-administered: Flu
- 2021-10-25
- 2021-10-29
- 2021-11-05
- 2021-12-25
- 2022-03-25
-
2022-04-01
Dose 4 — Moderna
- 2022-04-04
-
2022-04-05
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Bursitis — Feeling: Good · Joint painsFree text: Re Joint pain: Each time I have received a vaccine I notice an area of mild bursitis somewhere. The first three times it occurred on a hand, this time is is right elbow. I head the shot on the right side. I think there may be a relationship.MedDRA releases: 2024-11 · check-in free text available
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2022-04-06
Survey response — days 1–6 daily, dose 4MedDRA: Bursitis — Feeling: GoodFree text: As yesterday - mild bursitis, right elbow. Seems to be clearing (less noticeable than yesterday).MedDRA releases: 2024-11 · check-in free text available
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2022-04-07
Survey response — days 1–6 daily, dose 4MedDRA: Bursitis — Feeling: GoodFree text: Elbow bursitis is nearly goneMedDRA releases: 2024-11 · check-in free text available
- 2022-04-08
- 2022-04-17
- 2022-04-23
- 2022-05-01
- 2022-05-07
- 2022-05-14
- 2022-07-01
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2022-09-29
Dose 5 — ModernaCo-administered: Flu
- 2022-10-01
- 2022-10-15
- 2022-10-20
- 2022-10-27
- 2022-11-05
- 2022-11-10
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2022-12-29
Survey response — 3 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Contracted CovidMedDRA releases: 2024-11 · check-in free text available
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2022-12-29
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-30
-
2023-01-03
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-09-24 | Moderna | Flu |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-29 | Moderna | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 8 — 3 months, dose 2
Symptoms: One bout of hand busitis. It lasted a few days then subsided.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Re Joint pain: Each time I have received a vaccine I notice an area of mild bursitis somewhere. The first three times it occurred on a hand, this time is is right elbow. I head the shot on the right side. I think there may be a relationship.
Systemic reaction (other): As yesterday - mild bursitis, right elbow. Seems to be clearing (less noticeable than yesterday).
Systemic reaction (other): Elbow bursitis is nearly gone
Release 12 — 3 months, dose 5
Symptoms: Contracted Covid
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 | Bursitis | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Bursitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release