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26V-18070-15890

1 vaccination 5 coded responses 14 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
975 / OR
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: moderate headache yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-13
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Headache, Fatigue or tiredness
    Free text: every day the same type of symptoms getting milder every day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-19
    Survey response — day 7, dose 1
    MedDRA: Anxiety — Feeling: Good
    Free text: I wonder if you would want to collect info on anxiety about getting the vaccine and the days after. I experienced that and so have others I talked to. it influences behavior. I basically had to get vaccinated. I'm very grateful though certainly.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-09
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-04-13
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-07-16
    Survey response — 6 months, dose 1
    MedDRA: Arthralgia, Nausea — Feeling: Good
    Free text: Usual shoulder pain, usual and occasional sense of starting to get sick.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2022-01-12
    Survey response — 12 months, dose 1
    MedDRA: Acupuncture, Adverse reaction, Reaction to previous exposure to any vaccine — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Rough experience with both vaccination. Shingrix also difficult. Had to seek care. · Healthcare visit (other): Acupuncture
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-01-12
    Report sent to call center — 12 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2022-01-14

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): moderate headache yesterday

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): every day the same type of symptoms getting milder every day.

Release 2 — day 7, dose 1

2021-01-19

Systemic reaction (other): I wonder if you would want to collect info on anxiety about getting the vaccine and the days after. I experienced that and so have others I talked to. it influences behavior. I basically had to get vaccinated. I'm very grateful though certainly.

Release 9 — 6 months, dose 1

2021-07-16

Symptoms: Usual shoulder pain, usual and occasional sense of starting to get sick.

Release 10 — 12 months, dose 1

2022-01-12

Symptoms: Rough experience with both vaccination. Shingrix also difficult. Had to seek care.
Healthcare visit (other): Acupuncture

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
HCVOAcupuncture · · ✓
SDAdverse reaction · · ✓
SDArthralgia ✓ · ✓
SDNausea ✓ · ✓
SDReaction to previous exposure to any vaccine · · ✓
SROAdverse reaction ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROHeadache ✓ ✓ ✓

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