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274-15614-11935

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
908 / CA
Registered
2021-01-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Registered in v-safe
  2. 2021-01-21
    Dose 1 — Moderna
  3. 2021-01-21
    Health check-in — day 0, dose 1
    Feeling: Poor · None
    Adult check-in
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  5. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · None
    Adult check-in
  6. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  7. 2021-01-29
    Survey response — day 7, dose 1
    MedDRA: Nasopharyngitis — Feeling: Poor · Headache, Diarrhea
    Free text: I have beginning symptoms of a cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-05
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-02-18
    Dose 2 — Moderna
  11. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Error on temperature previous page: should read 98, I normally run a temperature between 96 and 97.9
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-28
    Health check-in — day 7, dose 2
    Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  13. 2021-03-06
    Survey response — day 14, dose 2
    MedDRA: Axillary pain, Lethargy, Pain in extremity — Feeling: Fair
    Free text: I have been very lethargic since the second shot. Also having pain both on top of the arm and under the arm in the area where I received the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-11
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-03-28
    Health check-in — day 35, dose 2
    Feeling: Poor
    Adult check-in
  17. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-05-20
    Health check-in — 3 months, dose 2
    Feeling: Poor
    Adult check-in
  19. 2021-08-20
    Survey response — 6 months, dose 2
    MedDRA: Bell's palsy, Sinus disorder — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Bells PalsyLots of sinus issues
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-08-20
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-08-27
  22. 2022-02-18
    Survey response — 12 months, dose 2
    MedDRA: Bell's palsy, Emergency care, Facial paralysis, Facial spasm — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Bells Palsey facial paralysis diagnosis in ER. Mostly resolved but continuing facial spams.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-02-18
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  24. 2022-02-22

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-18Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): I have beginning symptoms of a cold

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Error on temperature previous page: should read 98, I normally run a temperature between 96 and 97.9

Release 5 — day 14, dose 2

2021-03-06

Symptoms: I have been very lethargic since the second shot. Also having pain both on top of the arm and under the arm in the area where I received the shot.

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Bells PalsyLots of sinus issues

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Bells Palsey facial paralysis diagnosis in ER. Mostly resolved but continuing facial spams.

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
SDAxillary pain ✓ ✓ ✓
SDBell's palsy ✓ · ✓
SDEmergency care · · ✓
SDFacial paralysis · · ✓
SDFacial spasm · · ✓
SDLethargy ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDSinus disorder ✓ · ✓
SRONasopharyngitis ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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