END-36735-74021
4 vaccinations
3 coded responses
47 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 921 / CA
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FEP-65883-01178
Child or adolescent in my care · Male · 2022-07-23
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
-
2021-01-02
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-02
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: FairFree text: Pain in armpit of injection arm - lymph node pain?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
-
2021-01-16
Survey response — day 14, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Joint pain (knee) on side of vaccination, not related to physical activityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
-
2021-01-30
Dose 2 — Moderna
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Hyperhidrosis — Feeling: Good · Site: PainFree text: Sweating, hard time keeping cool but not feeling feverishMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-05-01
- 2021-07-31
-
2021-10-29
Dose 3 — Moderna
-
2021-10-29
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-05
- 2021-12-10
- 2022-01-28
- 2022-04-29
-
2022-07-22
Dose 4 — Moderna
- 2022-07-23
- 2022-07-25
- 2022-07-26
- 2022-07-29
- 2022-08-06
- 2022-08-12
- 2022-09-02
- 2022-10-23
- 2023-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-07-22 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Pain in armpit of injection arm - lymph node pain?
Release 2 — day 14, dose 1
Symptoms: Joint pain (knee) on side of vaccination, not related to physical activity
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Sweating, hard time keeping cool but not feeling feverish
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release