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Z49-18635-23193

5 vaccinations 17 coded responses 40 check-ins 16 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
559 / MN
Registered
2021-02-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-18
    Registered in v-safe
  2. 2021-02-18
    Dose 1 — Moderna
  3. 2021-02-18
    Survey response — day 0, dose 1
    MedDRA: Muscle tightness — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Slight tightness going up my shoulder from injection site into side of my neck. This is typical rxn of mine to any injection and not serious or specific to COVID vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia — Feeling: Good · Joint pains
    Free text: I always have knee pain, so I did not report that, but it has been maybesittlr worse since the vaccination. I am also doing extra squats though so pretty likely my knees are complaining fr those, not the vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint pains
    Free text: Knee pain but it is often there, probably not the vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-04
    Survey response — day 14, dose 1
    MedDRA: Chills, Neck pain — Feeling: Fair
    Free text: A few chills today and aches neck, but improving
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-18
    Dose 2 — Moderna
  13. 2021-03-18
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Accident, Back pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I was in a minor accident yesterday -back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site discolouration — Feeling: Good · Site: Redness, Itching
    Free text: Small Pink blotchy area 2 onces below injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Redness, Itching · Joint pains, Fatigue or tiredness
    Free text: What is considered immediate area around and Mme toon site?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches
    Free text: I am prone to joint paid do it might not be the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-25
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Accident 6 fays ago causing some soreness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-29
    Dose 3 — Moderna
    Co-administered: Flu
  27. 2022-03-20
    Survey response — 12 months, dose 2
    MedDRA: Dizziness, Hypotension — Feeling: Good
    Free text: Some low BP and dizziness but it was a couple days after donating blood so likely it unrelated to any other topic llness or reaction
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-05-26
    Dose 4 — Pfizer-BioNTech
  29. 2022-06-28
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-06-30
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-07-07
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-08-25
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-10-10
    Dose 5 — Moderna
    Co-administered: Flu
  34. 2022-10-11
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  35. 2022-10-12
    Survey response — days 1–6 daily, dose 5
    MedDRA: Fatigue — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Mild fatigue
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-10-13
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  37. 2022-10-14
    Survey response — days 1–6 daily, dose 5
    MedDRA: Body temperature decreased — Feeling: Fair · Joint pains, Fatigue or tiredness
    Free text: Temp higher than usual, but not a fever. 98.5. My "normal" is 97.6.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-10-15
    Survey response — days 1–6 daily, dose 5
    MedDRA: No adverse event — Feeling: Fair · Joint pains
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-10-16
    Survey response — days 1–6 daily, dose 5
    MedDRA: No adverse event — Feeling: Good · Joint pains, Fatigue or tiredness
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-10-17
    Health check-in — day 7, dose 5
    Feeling: Good · Joint pains
    Adult check-in
  41. 2022-10-24
    Health check-in — day 14, dose 5
    Feeling: Fair
    Adult check-in
  42. 2022-10-31
    Survey response — day 21, dose 5
    MedDRA: Diarrhoea, SARS-CoV-2 test negative, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Diarrhea and psychiatric n but I appreciate d COVID test eas negative so Dr thinks it is something else
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-10-31
    Report sent to call center — day 21, dose 5
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  44. 2022-11-01
  45. 2022-11-02
  46. 2022-11-02
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  47. 2022-11-08
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  48. 2022-11-14
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  49. 2022-11-21
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  50. 2023-01-09
    Survey response — 3 months, dose 5
    MedDRA: Irritable bowel syndrome, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  51. 2023-01-09
    Report sent to call center — 3 months, dose 5
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  52. 2023-01-10
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-02-18Moderna
22021-03-18Moderna
32021-10-29Moderna Flu
42022-05-26Pfizer-BioNTech No
52022-10-10Moderna Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-10-31 Successful
2022-11-02
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-09 Successful
2023-01-10
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — day 0, dose 1

2021-02-18

Systemic reaction (other): Slight tightness going up my shoulder from injection site into side of my neck. This is typical rxn of mine to any injection and not serious or specific to COVID vaccination.

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): No

2021-02-21

Systemic reaction (other): I always have knee pain, so I did not report that, but it has been maybesittlr worse since the vaccination. I am also doing extra squats though so pretty likely my knees are complaining fr those, not the vaccination.

2021-02-22

Systemic reaction (other): Knee pain but it is often there, probably not the vaccination

Release 5 — day 14, dose 1

2021-03-04

Symptoms: A few chills today and aches neck, but improving

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): I was in a minor accident yesterday -back pain

2021-03-21

Systemic reaction (other): Small Pink blotchy area 2 onces below injection site

2021-03-22

Systemic reaction (other): What is considered immediate area around and Mme toon site?

2021-03-23

Systemic reaction (other): I am prone to joint paid do it might not be the shot

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): Accident 6 fays ago causing some soreness

Release 11 — 12 months, dose 2

2022-03-20

Symptoms: Some low BP and dizziness but it was a couple days after donating blood so likely it unrelated to any other topic llness or reaction

Release 12 — days 1–6 daily, dose 5

2022-10-12

Systemic reaction (other): Mild fatigue

2022-10-14

Systemic reaction (other): Temp higher than usual, but not a fever. 98.5. My "normal" is 97.6.

2022-10-15

Systemic reaction (other): No

2022-10-16

Systemic reaction (other): No

Release 12 — day 21, dose 5

2022-10-31

Symptoms: Diarrhea and psychiatric n but I appreciate d COVID test eas negative so Dr thinks it is something else

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

FieldPreferred term2021-092023-042024-11
SDChills ✓ ✓ ✓
SDDiarrhoea · · ✓
SDDizziness · · ✓
SDHypotension · · ✓
SDIrritable bowel syndrome · · ✓
SDNeck pain ✓ ✓ ✓
SDPre-existing disease · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUnevaluable event · · ✓
SROAccident ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROBody temperature decreased · · ✓
SROFatigue · · ✓
SROInjection site discolouration ✓ ✓ ✓
SROMuscle tightness ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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