6FL-55814-33377
4 vaccinations
10 coded responses
34 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 302 / GA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-03
Dose 1 — Moderna
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2021-03-05
Registered in v-safe
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2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Rash on face prior to vaccine rapidly abd progressively getting worse with redness, itching and weeping in some spotsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-10
Survey response — day 7, dose 1MedDRA: Musculoskeletal chest pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Pain under (L) front ribs intermittentlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
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2021-03-24
Survey response — day 21, dose 1MedDRA: Rash — Feeling: FairFree text: Facial rash much worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Dose 2 — Moderna
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy, Rash, Rash pruritic, Upper-airway cough syndrome — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Itchy rash on face, post-nasal drip, swollen & tender cervical lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Tender cervical lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — day 7, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-14
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2021-04-21
Survey response — day 21, dose 2MedDRA: Cough, Productive cough, Wheezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Productive cough with thick, discolored sputum & wheezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-06-30
- 2021-09-30
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2021-11-13
Dose 3 — Moderna
- 2021-11-20
- 2021-11-27
- 2021-12-06
- 2021-12-13
- 2021-12-18
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2021-12-27
Survey response — day 42, dose 3MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Joint painMedDRA releases: 2024-11 · check-in free text available
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2022-02-12
Survey response — 3 months, dose 3MedDRA: Fall, Joint dislocation, Lower limb fracture — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Fell & fractured right knee, separated left ACMedDRA releases: 2024-11 · check-in free text available
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2022-02-12
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2022-02-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-07
Dose 4 — Moderna
- 2022-04-20
- 2022-04-23
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2022-04-28
Survey response — day 21, dose 4MedDRA: Muscle spasms, Physiotherapy — Feeling: FairFree text: Increased muscle cramps/spasms since last PT appointmentMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-07-08
- 2022-10-06
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2023-04-07
Survey response — 12 months, dose 4MedDRA: Decreased appetite, Fatigue, Insomnia, Pruritus, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-07
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-04-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Rash on face prior to vaccine rapidly abd progressively getting worse with redness, itching and weeping in some spots
Release 5 — day 7, dose 1
Systemic reaction (other): Pain under (L) front ribs intermittently
Release 6 — day 21, dose 1
Symptoms: Facial rash much worse.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Itchy rash on face, post-nasal drip, swollen & tender cervical lymph nodes
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Tender cervical lymph nodes
Release 7 — day 21, dose 2
Symptoms: Productive cough with thick, discolored sputum & wheezing
Release 10 — day 42, dose 3
Symptoms: Joint pain
Release 11 — 3 months, dose 3
Symptoms: Fell & fractured right knee, separated left AC
Release 11 — day 21, dose 4
Symptoms: Increased muscle cramps/spasms since last PT appointment
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 | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Joint dislocation | · | · | ✓ |
| SD | Lower limb fracture | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Physiotherapy | · | · | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release