ZJH-28566-96591
4 vaccinations
5 coded responses
41 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 630 / MO
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Moderna
-
2021-02-24
Registered in v-safe
-
2021-02-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
-
2021-03-09
Survey response — day 14, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: I still have a sharp pain in the arm where I got the vaccine but in the bicep, not at the injection site. It wakes me when trying to sleep, but no redness or swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-23
Dose 2 — Moderna
-
2021-03-23
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-06-22
- 2021-09-21
-
2021-10-22
Dose 3 — Moderna
- 2021-10-28
-
2021-10-29
Survey response — day 7, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Had swelling under my arm for the first 3 days following the booster; all fine nowMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
-
2021-11-12
Survey response — day 21, dose 3MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: GoodFree text: A bit of a stiff neck/pain on left side of my neckMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-02
Dose 4 — Moderna
-
2022-04-15
Survey response — day 7, dose 4MedDRA: Erythema, Pain, Swelling — Feeling: Good · Site: Pain, Redness, SwellingFree text: The swelling/redness/pain only lasted for 2-3 days after the booster. All fine now.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-16
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
-
2022-07-02
Survey response — 3 months, dose 4MedDRA: Office visit, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore throat · Healthcare visit (other): In-person visit to my primary care physicuanMedDRA releases: 2024-11 · check-in free text available
-
2022-07-02
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-06
- 2022-10-01
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-23 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-02 | Unsuccessful |
Free text
Release 5 — day 14, dose 1
Symptoms: I still have a sharp pain in the arm where I got the vaccine but in the bicep, not at the injection site. It wakes me when trying to sleep, but no redness or swelling.
Release 10 — day 7, dose 3
Systemic reaction (other): Had swelling under my arm for the first 3 days following the booster; all fine now
Release 10 — day 21, dose 3
Symptoms: A bit of a stiff neck/pain on left side of my neck
Release 11 — day 7, dose 4
Systemic reaction (other): The swelling/redness/pain only lasted for 2-3 days after the booster. All fine now.
Release 12 — 3 months, dose 4
Symptoms: Sore throat
Healthcare visit (other): In-person visit to my primary care physicuan
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release