6D7-28574-48178
3 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 626 / IL
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Just a little tenderness around injection site, but going away todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-23
Dose 2 — Moderna
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-26
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Sinus headache — Feeling: Good · HeadacheFree text: Just a dull sinus headache, not badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-12-13
Dose 3 — Moderna
-
2022-02-23
Survey response — 12 months, dose 2MedDRA: Crying, Eye pruritus, Headache, Pain in jaw, Pericarditis, Pre-existing disease, Rhinorrhoea — Feeling: FairFree text: Had pericarditis in October- am fully vaccinated & boosted- Jaw pain from previous TMJ Seasonal allergy- runny nose, itchy and weepy eyes- has lasted for several months off and on Frequent Headaches - not severe Head pain off and onMedDRA releases: 2024-11 · check-in free text available
-
2022-06-13
Survey response — 6 months, dose 3MedDRA: Office visit, Pericarditis, Temporomandibular pain and dysfunction syndrome — Feeling: FairFree text: Had pericarditis in October, 2021. Have had follow up with Dr and heart Dr. And they are continuing foloiwups. So far so good. Also have had problems with TMJ- and am trying to deal with it holistically. On the last question below, how would we knowMedDRA releases: 2024-11 · check-in free text available
-
2022-12-13
Survey response — 12 months, dose 3MedDRA: Muscle tightness, Office visit, Pericarditis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Lots of muscle tightness, in neck, shoulders and legs. May be arthritis or cold related. Did have pericarditis in Oct of 2021, 9 months after last Covid vaccine. Drs did not say anything at all or ask about Covid vaccine, don't know if related.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-13
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-12-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-12-13 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Just a little tenderness around injection site, but going away today
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Just a dull sinus headache, not bad
Release 11 — 12 months, dose 2
Symptoms: Had pericarditis in October- am fully vaccinated & boosted- Jaw pain from previous TMJ Seasonal allergy- runny nose, itchy and weepy eyes- has lasted for several months off and on Frequent Headaches - not severe Head pain off and on
Release 12 — 6 months, dose 3
Symptoms: Had pericarditis in October, 2021. Have had follow up with Dr and heart Dr. And they are continuing foloiwups. So far so good. Also have had problems with TMJ- and am trying to deal with it holistically. On the last question below, how would we know cut off by CDC
Release 12 — 12 months, dose 3
Symptoms: Lots of muscle tightness, in neck, shoulders and legs. May be arthritis or cold related. Did have pericarditis in Oct of 2021, 9 months after last Covid vaccine. Drs did not say anything at all or ask about Covid vaccine, don't know if related.
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 | Crying | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Muscle tightness | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Pericarditis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Temporomandibular pain and dysfunction syndrome | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Sinus headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release