6WB-13493-38244
3 vaccinations
6 coded responses
31 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 170 / PA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
-
2021-03-17
Registered in v-safe
-
2021-03-17
Survey response — day 7, dose 1MedDRA: Injection site pain, Pain in extremity — Feeling: Good · Site: PainFree text: My arm was sore for three days after the shot as normal and the pain went away and last night my arm started to feel sore in the injection site again. Received a shout on March 4 and today is March 17.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-04-05
Dose 2 — Moderna
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
-
2021-04-26
Survey response — day 21, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: My right arm with my first shot still gets sore. The left arm with my second shot is fineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-10
-
2021-05-17
Survey response — day 42, dose 2MedDRA: Hypertension — Feeling: GoodFree text: Blood pressure high. Not related toCovid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-05
Survey response — 3 months, dose 2MedDRA: Heart rate increased, Hypertension — Feeling: GoodFree text: High blood pressure and pulseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-04
-
2021-11-04
Dose 3 — Moderna
- 2021-11-05
- 2021-11-06
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: GoodFree text: Arm is still sore but not bad.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-18
- 2022-02-03
-
2022-05-05
Survey response — 6 months, dose 3MedDRA: Dry throat, Office visit, Tonsillolith — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Tonsil stones dry throat that won't go away · Healthcare visit (other): Two family doctor and one specialist ENTMedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): My arm was sore for three days after the shot as normal and the pain went away and last night my arm started to feel sore in the injection site again. Received a shout on March 4 and today is March 17.
Release 8 — day 21, dose 2
Symptoms: My right arm with my first shot still gets sore. The left arm with my second shot is fine
Release 8 — day 42, dose 2
Symptoms: Blood pressure high. Not related toCovid.
Release 9 — 3 months, dose 2
Symptoms: High blood pressure and pulse
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Arm is still sore but not bad.
Release 11 — 6 months, dose 3
Symptoms: Tonsil stones dry throat that won't go away
Healthcare visit (other): Two family doctor and one specialist ENT
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 | · | · | ✓ |
| SD | Dry throat | · | · | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Tonsillolith | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release