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6FP-10733-96928

4 vaccinations 13 coded responses 40 check-ins 13 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
191 / PA
Registered
2021-02-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-27
    Registered in v-safe
  2. 2021-03-02
    Dose 1 — Moderna
  3. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site induration, Injection site inflammation, Injection site mass — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site
    Free text: Inflamed streak on side of injection site is a bit lumpy and hard
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  5. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain, Redness, Swelling
    Free text: Feel a bit like I caught a cold. And I have been nowhere except to Rite Aid to get my vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gingival erythema, Gingival pain — Feeling: Good · Site: Pain
    Free text: Still a bit of redness and pain in lower gum. Maybe coincidence?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  8. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-09
    Survey response — day 7, dose 1
    MedDRA: Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Free text: Tiny itchy rash on right breast. Again, ma ybe coincidence. I feel fine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-16
    Survey response — day 14, dose 1
    MedDRA: Aphthous ulcer, Pain in extremity, Peripheral swelling, Rash — Feeling: Good
    Free text: Weird. Shot in left arm with 12 days of raise somewhat painful swelling (expected). On day 10 I experienced 2 days of its year rash in eight nipple. And 4 days of canker sore on right lower gum. Now all okay.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-30
    Dose 2 — Moderna
  13. 2021-03-30
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: Received the vaccine less than an hour ago. So far so good!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Gingival pain, Oral pain — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Free text: I have gum pain on right front side of mouth. Occurred with first shot, too. Weird.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paranasal sinus discomfort — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Feeling a little vaguely off and some mild sinus pressure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-21
    Pregnancy registry survey
    Not pregnant at or since vaccination ·
  24. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-01
    Dose 3 — Moderna
  30. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  31. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Just feeling an ever so slight lingering fatigue. Hardly anything.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-08
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-29
    Survey response — day 28, dose 3
    MedDRA: Cough, Increased upper airway secretion, Respiratory tract congestion — Feeling: Fair
    Free text: Feel chest congestion and very slight cough, some loose mucous in my thoat
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-06
    Survey response — day 35, dose 3
    MedDRA: Nasopharyngitis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Classic cold · Healthcare visit (other): Rapid tests
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-06
    Report sent to call center — day 35, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  39. 2021-12-10
  40. 2021-12-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-13
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  42. 2022-02-02
    Survey response — 3 months, dose 3
    MedDRA: Fatigue, Pain — Feeling: Good
    Free text: Some aches and fatigue, but I suspect unrelated to COVID.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-04-08
    Dose 4 — Moderna
  44. 2022-05-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-05-19
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-07-08
    Survey response — 3 months, dose 4
    MedDRA: Pain, Paranasal sinus discomfort — Feeling: Fair
    Free text: Some achy-ness, some sinus pressure
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-10-07
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  49. 2023-04-08
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna
32021-11-01Moderna No
42022-04-08Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Inflamed streak on side of injection site is a bit lumpy and hard

2021-03-05

Systemic reaction (other): Feel a bit like I caught a cold. And I have been nowhere except to Rite Aid to get my vaccine.

2021-03-06

Systemic reaction (other): Still a bit of redness and pain in lower gum. Maybe coincidence?

Release 5 — day 7, dose 1

2021-03-09

Systemic reaction (other): Tiny itchy rash on right breast. Again, ma ybe coincidence. I feel fine.

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Weird. Shot in left arm with 12 days of raise somewhat painful swelling (expected). On day 10 I experienced 2 days of its year rash in eight nipple. And 4 days of canker sore on right lower gum. Now all okay.

Release 6 — day 0, dose 2

2021-03-30

Systemic reaction (other): Received the vaccine less than an hour ago. So far so good!

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): I have gum pain on right front side of mouth. Occurred with first shot, too. Weird.

2021-04-02

Systemic reaction (other): Feeling a little vaguely off and some mild sinus pressure

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): Just feeling an ever so slight lingering fatigue. Hardly anything.

Release 10 — day 28, dose 3

2021-11-29

Symptoms: Feel chest congestion and very slight cough, some loose mucous in my thoat

Release 10 — day 35, dose 3

2021-12-06

Symptoms: Classic cold
Healthcare visit (other): Rapid tests

Release 11 — 3 months, dose 3

2022-02-02

Symptoms: Some aches and fatigue, but I suspect unrelated to COVID.

Release 12 — 3 months, dose 4

2022-07-08

Symptoms: Some achy-ness, some sinus pressure

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
HCVOUnevaluable event · · ✓
SDAphthous ulcer ✓ ✓ ✓
SDCough · · ✓
SDFatigue · · ✓
SDIncreased upper airway secretion · · ✓
SDNasopharyngitis · · ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ✓
SDParanasal sinus discomfort · · ✓
SDPeripheral swelling ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SROFatigue · · ✓
SROFeeling abnormal ✓ ✓ ✓
SROGingival erythema ✓ ✓ ✓
SROGingival pain ✓ ✓ ✓
SROInjection site induration ✓ ✓ ✓
SROInjection site inflammation ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROParanasal sinus discomfort ✓ ✓ ✓
SRORash ✓ ✓ ✓

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

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