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Z4F-11511-07940

4 vaccinations 6 coded responses 20 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
469 / IN
Registered
2021-01-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-23
    Dose 1 — Moderna
  2. 2021-01-24
    Registered in v-safe
  3. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Headache — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains
    Free text: I don't know if headache and joint pain are related to vaccination or just other age related problems
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Joint pains
    Adult check-in
  6. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-01
    Survey response — day 7, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activities
    Free text: Breathing is somewhat more difficult.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-08
    Survey response — day 14, dose 1
    MedDRA: Injection site discolouration, Injection site swelling — Feeling: Good
    Free text: I have an area about the size of a goose egg at the injection site that slightly puffy and discolored. The area does not itch nor is it painful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-20
    Dose 2 — Moderna
  10. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear discomfort — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Nausea
    Free text: Ears feel like they have water in them
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches
    Adult check-in
  12. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Headache, Joint pains
    Adult check-in
  13. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-02-27
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  15. 2021-03-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-13
    Survey response — day 21, dose 2
    MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have had a headache for the last several days that I can't seem to get rid of. I do not know if it is related to my Moderna Vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-20
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-03-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-03
    Survey response — day 42, dose 2
    MedDRA: Chronic obstructive pulmonary disease, Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I am having more problems with my COPD requiring a more frequent use of the nebulizer. I do not suffer from seasonal allergies.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-09
    Dose 3 — Moderna
  23. 2022-10-13
    Dose 4 — Moderna
    Co-administered: Flu
  24. 2022-11-09
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-11-09
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Moderna
22021-02-20Moderna
32021-11-09Moderna No
42022-10-13Moderna Flu

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): I don't know if headache and joint pain are related to vaccination or just other age related problems

Release 3 — day 7, dose 1

2021-02-01

Systemic reaction (other): Breathing is somewhat more difficult.

Release 3 — day 14, dose 1

2021-02-08

Symptoms: I have an area about the size of a goose egg at the injection site that slightly puffy and discolored. The area does not itch nor is it painful.

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Ears feel like they have water in them

Release 5 — day 21, dose 2

2021-03-13

Symptoms: I have had a headache for the last several days that I can't seem to get rid of. I do not know if it is related to my Moderna Vaccine

Release 6 — day 42, dose 2

2021-04-03

Symptoms: I am having more problems with my COPD requiring a more frequent use of the nebulizer. I do not suffer from seasonal allergies.

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
SDChronic obstructive pulmonary disease ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site discolouration ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROHeadache ✓ ✓ ✓

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