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6CL-87819-90138

5 vaccinations 9 coded responses 33 check-ins 9 free-text entries 3 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
811 / CO
Registered
2021-02-11
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-10
    Dose 1 — Moderna
  2. 2021-02-11
    Registered in v-safe
  3. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Fair · Fever · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Good · Muscle or body aches
    Free text: Lower back pain (mild)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Fatigue or tiredness
    Adult check-in
  9. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-24
    Survey response — day 14, dose 1
    MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good
    Free text: I had a swollen gland in my armpit, the arm I had my covid shot. I had pain under my arm for about 1 day and then the swelling went down and it quit hurting.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-03
    Survey response — day 21, dose 1
    MedDRA: Oedema peripheral, Pain — Feeling: Good
    Free text: I had a swollen gland under my left arm one evening with a little pain. It felt much better the next day and the swelling went down.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-10
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-12
    Dose 2 — Moderna
  14. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paraesthesia oral, Self-medication, Swollen tongue, Throat irritation — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: After my shot my throat felt itchy and the back of my tounge felt big. It got worse about 4 hours after my shot. I took benadryl and it got better. I only had to take one dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain — Feeling: Good · Muscle or body aches
    Free text: Lower back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-09
    Survey response — day 28, dose 2
    MedDRA: Gout — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: I have severe gout on my right toe and foot. I have never had gout before. It is very painful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-09
    Report sent to call center — day 28, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-04-16
    Survey response — day 35, dose 2
    MedDRA: Fluid retention, Gout, Hypertension — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: High blood pressureGout on right footWater retention
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-16
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-04-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-11
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  29. 2021-09-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-11-04
    Dose 3 — Moderna
  31. 2022-03-12
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-04-01
  33. 2022-05-14
    Dose 4 — Moderna
  34. 2022-09-17
    Dose 5 — Moderna
  35. 2022-09-30
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  36. 2022-10-01
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  37. 2022-10-08
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  38. 2022-10-15
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  39. 2022-10-22
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  40. 2022-10-29
    Survey response — day 42, dose 5
    MedDRA: Cellulitis, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Took a flu shot Tuesday on my left arm and ended up with cellulitis on my arm. · Healthcare visit (other): Visited doctor in a clinic
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-10-29
    Report sent to call center — day 42, dose 5
    Get care from a doctor or other healthcare professional
    1 call case(s)
  42. 2022-10-31
  43. 2022-10-31
  44. 2022-10-31
  45. 2022-12-17
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  46. 2023-03-18
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-12Moderna
32021-11-04Moderna No
42022-05-14Moderna No
52022-09-17Moderna No

Call center

3 call center cases

3 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): No

2021-02-12

Systemic reaction (other): Lower back pain (mild)

Release 4 — day 14, dose 1

2021-02-24

Symptoms: I had a swollen gland in my armpit, the arm I had my covid shot. I had pain under my arm for about 1 day and then the swelling went down and it quit hurting.

Release 5 — day 21, dose 1

2021-03-03

Symptoms: I had a swollen gland under my left arm one evening with a little pain. It felt much better the next day and the swelling went down.

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): After my shot my throat felt itchy and the back of my tounge felt big. It got worse about 4 hours after my shot. I took benadryl and it got better. I only had to take one dose.

2021-03-17

Systemic reaction (other): Lower back pain

Release 7 — day 28, dose 2

2021-04-09

Symptoms: I have severe gout on my right toe and foot. I have never had gout before. It is very painful.

Release 7 — day 35, dose 2

2021-04-16

Symptoms: High blood pressureGout on right footWater retention

Release 12 — day 42, dose 5

2022-10-29

Symptoms: Took a flu shot Tuesday on my left arm and ended up with cellulitis on my arm.
Healthcare visit (other): Visited doctor in a clinic

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAxillary pain ✓ ✓ ✓
SDCellulitis · · ✓
SDFluid retention ✓ ✓ ✓
SDGout ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDOedema peripheral ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ○
SROSelf-medication · · ✓
SROSwollen tongue · · ✓
SROThroat irritation ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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