TB9-87163-64952
4 vaccinations
5 coded responses
16 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 300 / GA
- Registered
- 2021-06-15
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-10
Dose 1 — Moderna
-
2021-06-10
Dose 2 — Moderna
-
2021-06-15
Registered in v-safe
-
2021-06-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-06-16
- 2021-06-17
- 2021-06-24
-
2021-07-01
Survey response — day 21, dose 2MedDRA: Blood pressure increased, Chest pain, Painful respiration — Feeling: GoodFree text: Chest pain during deep breaths. Elevated blood pressure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-08
- 2021-07-15
- 2021-07-24
- 2021-09-09
-
2021-12-01
Dose 3 — Pfizer-BioNTech
- 2021-12-09
-
2022-06-10
Survey response — 12 months, dose 2MedDRA: Arthralgia, Mobility decreased, Muscular weakness, Pain in extremity, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My left arm is sore. It has hurt almost everyday since my booster in December 2021. I have muscle weakness. I've lost flexibility and range of motion. I wake up with shoulder pain. I have iced it, rested it and used oral and topical analgesics.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Dose 4 — Pfizer-BioNTech
- 2023-01-20
- 2023-01-21
-
2023-01-28
Survey response — day 42, dose 4MedDRA: Cough, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-01-28
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-01-30
-
2023-03-20
Survey response — 3 months, dose 4MedDRA: Cough — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-20
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-21
- 2023-03-21
-
2023-06-19
Survey response — 6 months, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-10 | Moderna | |
| 2 | 2021-06-10 | Moderna | |
| 3 | 2021-12-01 | Pfizer-BioNTech | No |
| 4 | 2022-12-17 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 9 — day 21, dose 2
Symptoms: Chest pain during deep breaths. Elevated blood pressure.
Release 12 — 12 months, dose 2
Symptoms: My left arm is sore. It has hurt almost everyday since my booster in December 2021. I have muscle weakness. I've lost flexibility and range of motion. I wake up with shoulder pain. I have iced it, rested it and used oral and topical analgesics.
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 | · | · | ✓ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Painful respiration | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release