LVD-12556-19407
3 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 956 / CA
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Dose 1 — Moderna
-
2021-03-01
Registered in v-safe
-
2021-03-01
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: FairFree text: Pointed pain in left armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Moderna
-
2021-03-19
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · Site: PainFree text: Not yet. Just got vaccine 45 minutes ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-28
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-25
- 2021-04-30
- 2021-06-20
- 2021-09-19
-
2021-11-17
Dose 3 — Pfizer-BioNTech
- 2022-03-19
- 2022-05-20
-
2022-11-17
Survey response — 12 months, dose 3MedDRA: Angina pectoris, COVID-19, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I got Covid in June and had long Covid symptoms periodically since then. I sometimes have heart pain. And, I wheeze a few times a week.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-17
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-11-18
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-11-17 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Pointed pain in left armpit
Release 5 — day 0, dose 2
Systemic reaction (other): Not yet. Just got vaccine 45 minutes ago.
Release 12 — 12 months, dose 3
Symptoms: I got Covid in June and had long Covid symptoms periodically since then. I sometimes have heart pain. And, I wheeze a few times a week.
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 | Angina pectoris | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release