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Z4S-30790-65629

3 vaccinations 7 coded responses 21 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
200 / DC
Registered
2021-03-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Dose 1 — Moderna
  2. 2021-03-22
    Registered in v-safe
  3. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Fair
    Free text: I finally ok today after having the 1st vaccine shot on 3/17. I had a lot of the side effects but only signed up for this tracker today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Fever · Muscle or body aches
    Free text: My hands still hurt.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-24
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Muscle or body aches
    Free text: My hands & ankles are still aching occasionally.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-14
    Dose 2 — Moderna
  7. 2021-04-14
    Health check-in — day 0, dose 2
    Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My skin has been itching unusually since the vax. Its not a rash, but its a hypersensitivity.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Fatigue or tiredness
    Adult check-in
  12. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Fair · Fever · Headache, Joint pains · Be unable to do your normal daily activities
    Free text: My hands are still hurting
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-21
    Survey response — day 7, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Joint pains, Muscle or body aches
    Free text: My hands are still hurting.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-26
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-07-14
    Survey response — 3 months, dose 2
    MedDRA: Thrombosis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Blood clot! I was checked into the Cleveland Clinic on 6/16/2021 with a clot. In hindsight i think i had add it for at least two weeks after my 2nd vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-07-14
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  21. 2021-07-22
  22. 2021-10-15
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  23. 2022-04-14
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-05-01
    Dose 3 — Pfizer-BioNTech
  25. 2022-05-10
    Health check-in — day 7, dose 3
    Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  26. 2022-08-02
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  27. 2022-11-01
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-14Moderna
32022-05-01Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-07-14 Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): I finally ok today after having the 1st vaccine shot on 3/17. I had a lot of the side effects but only signed up for this tracker today.

2021-03-23

Systemic reaction (other): My hands still hurt.

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): My hands & ankles are still aching occasionally.

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): My skin has been itching unusually since the vax. Its not a rash, but its a hypersensitivity.

2021-04-19

Systemic reaction (other): My hands are still hurting

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): My hands are still hurting.

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Blood clot! I was checked into the Cleveland Clinic on 6/16/2021 with a clot. In hindsight i think i had add it for at least two weeks after my 2nd vaccine.

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
SDThrombosis ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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