6U4-84555-28273
2 vaccinations
8 coded responses
23 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 604 / IL
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Myalgia, Osteoarthritis — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: Muscle & joint pain is common for me due to age and degenerative disorderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Muscle or body achesFree text: Pain this morning....6; pain currently...0MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
- 2021-01-21
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Erythema, Peripheral swelling, Pruritus, Rash, Specialist consultation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Covid Arm rash appeared on 8th day.Red, itchy, swollen. · Healthcare visit (other): Consulted with allergist. Allergy challenge scheduled for 02/02MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-04
-
2021-02-10
Dose 2 — Moderna
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling, Pruritus, Skin warm — Feeling: Good · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Swelling, itching, warm to touch Moderna ArmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Itching but rash& all other symptoms are goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-17
Survey response — day 7, dose 2MedDRA: Pruritus — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Left arm still itches but all other symptoms on that arm are goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
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2021-03-03
Survey response — day 21, dose 2MedDRA: Arthralgia, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Aches, joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
-
2021-03-24
Survey response — day 42, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: ExhaustionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-27
-
2021-05-28
Call successfulCompleted over the phone
- 2021-08-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle & joint pain is common for me due to age and degenerative disorder
Systemic reaction (other): Pain this morning....6; pain currently...0
Release 3 — day 14, dose 1
Symptoms: Covid Arm rash appeared on 8th day.Red, itchy, swollen.
Healthcare visit (other): Consulted with allergist. Allergy challenge scheduled for 02/02
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling, itching, warm to touch Moderna Arm
Systemic reaction (other): Itching but rash& all other symptoms are gone
Release 4 — day 7, dose 2
Systemic reaction (other): Left arm still itches but all other symptoms on that arm are gone
Release 5 — day 21, dose 2
Symptoms: Aches, joint pain
Release 6 — day 42, dose 2
Symptoms: Exhaustion
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 | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Osteoarthritis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release