6TS-23803-39250
4 vaccinations
6 coded responses
30 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 320 / FL
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
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2021-01-16
Dose 1 — Moderna
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2021-01-16
Survey response — day 0, dose 1MedDRA: No adverse event, Unevaluable event — Feeling: Good · Site: Swelling · Joint pains, Muscle or body achesFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: My arm is a little soarMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-30
Survey response — day 14, dose 1MedDRA: Cough, Nasopharyngitis — Feeling: FairFree text: I had a cold and a cough is 2 weeks now it will not go away .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — day 21, dose 1MedDRA: Bronchitis, Medical counselling, Office visit, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I have bronchitis I started taking METHYPREDNISOLONE 4 mg. (steroids ) on Tuesday Feb. 2, plus DOXYCYCLINE 100mg.What do I do now. I am better but my doctor told me to have my se o di vaccine a week after FEBRUARY 13, HOS DO I RESCHEDULE · Healthcare visit (other): Doctor office visit , after I tested NEGATIVE FOR COVIDMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-13
Dose 2 — Moderna
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2021-02-13
Health check-in — day 0, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-06-04
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2021-06-07
Call successfulDoes not wish to fill out VAERS report
- 2021-08-14
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2021-11-27
Dose 3 — Moderna
- 2022-02-13
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2022-05-21
Dose 4 — Moderna
- 2022-05-28
- 2022-05-28
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2022-06-04
Survey response — day 14, dose 4MedDRA: Arthralgia — Feeling: GoodFree text: Knee joint painMedDRA releases: 2024-11 · check-in free text available
- 2022-06-11
- 2022-06-21
- 2022-06-25
- 2022-07-04
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2022-08-22
Survey response — 3 months, dose 4MedDRA: Arthralgia, Back pain, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lots of muscle aches and back ache and joints pain I cannot explain why pain does tho away . I do believe comes from the vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-11-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
| 4 | 2022-05-21 | Moderna | No |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
1 wait over 3 months for a first call
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): No
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): My arm is a little soar
Release 3 — day 14, dose 1
Symptoms: I had a cold and a cough is 2 weeks now it will not go away .
Release 3 — day 21, dose 1
Symptoms: I have bronchitis I started taking METHYPREDNISOLONE 4 mg. (steroids ) on Tuesday Feb. 2, plus DOXYCYCLINE 100mg.What do I do now. I am better but my doctor told me to have my se o di vaccine a week after FEBRUARY 13, HOS DO I RESCHEDULE
Healthcare visit (other): Doctor office visit , after I tested NEGATIVE FOR COVID
Release 11 — day 14, dose 4
Symptoms: Knee joint pain
Release 12 — 3 months, dose 4
Symptoms: Lots of muscle aches and back ache and joints pain I cannot explain why pain does tho away . I do believe comes from the vaccine
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 | Office visit | ✓ | ✓ | ✓ |
| HCVO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Bronchitis | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release