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26Y-17757-16470

2 vaccinations 3 coded responses 24 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
134 / NY
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-01
    Dose 1 — Moderna
  2. 2021-04-02
    Registered in v-safe
  3. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  4. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-08
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-04-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-29
    Dose 2 — Moderna
  12. 2021-04-29
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  14. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  15. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-27
    Survey response — day 28, dose 2
    MedDRA: Dizziness — Feeling: Good
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-28
    Survey response — 6 months, dose 2
    MedDRA: Dizziness, Emergency care, Haemorrhage, Heavy menstrual bleeding, Intra-uterine contraceptive device insertion, Office visit — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Symptoms: Excessive period bleeding. Lasted a month and a half and was very heavy · Healthcare visit (other): Went to ER because I was dizzy and lightheaded from excessive bleeding. Many follow up visits with my PA.. I was put on meds for the bleeding. I am trying an IUD before having a hysterectomy
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-28
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  28. 2021-10-29
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  29. 2022-04-29
    Survey response — 12 months, dose 2
    MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Rash on scalp, neck, chest and back. Can't figure out what it's from and nothing seems to help. Started right after my booster shot in November.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-04-29
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  31. 2022-05-02
  32. 2022-05-02
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna
22021-04-29Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-05-27

Symptoms: Dizziness

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: Excessive period bleeding. Lasted a month and a half and was very heavy
Healthcare visit (other): Went to ER because I was dizzy and lightheaded from excessive bleeding. Many follow up visits with my PA.. I was put on meds for the bleeding. I am trying an IUD before having a hysterectomy

Release 11 — 12 months, dose 2

2022-04-29

Symptoms: Rash on scalp, neck, chest and back. Can't figure out what it's from and nothing seems to help. Started right after my booster shot in November.

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
HCVODizziness · · ✓
HCVOEmergency care · · ✓
HCVOHaemorrhage · · ✓
HCVOIntra-uterine contraceptive device insertion · · ✓
HCVOOffice visit · · ✓
SDDizziness ✓ ✓ ✓
SDHeavy menstrual bleeding · · ✓
SDRash · · ✓

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