6BR-16586-64647
4 vaccinations
8 coded responses
16 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 554 / MN
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Dose 1 — Moderna
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2021-03-15
Dose 2 — Moderna
-
2021-03-27
Registered in v-safe
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2021-03-27
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-29
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2021-04-05
Survey response — day 21, dose 2MedDRA: Pain in extremity, Rash — Feeling: GoodFree text: Rash on arm that had dissipated and pain in arm that had decreased has increased again. Rash that covered about 1/4 of upper outer arm is now evident on underside of arm into which injection was given. Photos available if needed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 28, dose 2MedDRA: Arthralgia, Office visit, Pain in extremity, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: The rash in inoculated arm also appeared on other arm. Periodic joint pain. Pain in inoculated arm persists. These conditions do not limit activity and do not get worse so much as persistent and worse without pausing for rest. · Healthcare visit (other): Discussed with my dermatologist during a visit for another purpose; told known COVID vaccine response and report if these became worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-22
Survey response — day 35, dose 2MedDRA: Hypersensitivity, Pre-existing disease — Feeling: GoodFree text: Allergies seem particularly bothersome this year, but I don't think it has a thing to do with vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
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2021-06-16
Survey response — 3 months, dose 2MedDRA: Haematoma, Magnetic resonance imaging — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Hematoma on forearm. · Healthcare visit (other): MRIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-18
- 2021-09-13
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2021-10-20
Dose 3 — Moderna
- 2022-03-15
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2022-04-05
Dose 4 — Moderna
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2022-04-29
Survey response — day 21, dose 4MedDRA: Nerve compression — Feeling: FairFree text: Pinched nerve in backMedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Survey response — day 28, dose 4MedDRA: Arthralgia — Feeling: GoodFree text: Joint painMedDRA releases: 2024-11 · check-in free text available
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2022-05-10
Survey response — day 35, dose 4MedDRA: Pre-existing disease — Feeling: FairFree text: AllergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-07-05
- 2022-10-04
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2023-04-05
Survey response — 12 months, dose 4MedDRA: Influenza, Nasopharyngitis — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-10-20 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — day 21, dose 2
Symptoms: Rash on arm that had dissipated and pain in arm that had decreased has increased again. Rash that covered about 1/4 of upper outer arm is now evident on underside of arm into which injection was given. Photos available if needed.
Release 7 — day 28, dose 2
Symptoms: The rash in inoculated arm also appeared on other arm. Periodic joint pain. Pain in inoculated arm persists. These conditions do not limit activity and do not get worse so much as persistent and worse without pausing for rest.
Healthcare visit (other): Discussed with my dermatologist during a visit for another purpose; told known COVID vaccine response and report if these became worse.
Release 7 — day 35, dose 2
Symptoms: Allergies seem particularly bothersome this year, but I don't think it has a thing to do with vaccine.
Release 9 — 3 months, dose 2
Release 11 — day 21, dose 4
Symptoms: Pinched nerve in back
Release 11 — day 28, dose 4
Symptoms: Joint pain
Release 11 — day 35, dose 4
Symptoms: Allergies
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 | Magnetic resonance imaging | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Haematoma | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nerve compression | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release