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2DL-17666-22960

5 vaccinations 10 coded responses 48 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
183 / PA
Registered
2021-03-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-26
    Registered in v-safe
  2. 2021-03-26
    Dose 1 — Moderna
  3. 2021-03-26
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Good · Headache
    Free text: Light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry mouth, Dysgeusia, Taste disorder, Thirst — Feeling: Good · Site: Pain, Itching · Headache
    Free text: Funny taste in my mouth, and mouth is dry and my thirsty
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Taste disorder — Feeling: Good · Site: Pain · Headache
    Free text: Still have a bad tast in my mouth, and slightly lightheaded
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Taste disorder — Feeling: Good · Headache, Diarrhea
    Free text: Lighthead and bad taste in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia — Feeling: Good
    Free text: Bad taste in mouth . Metallic it seems a little better todaybetter
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-23
    Dose 2 — Moderna
  13. 2021-04-23
    Survey response — day 0, dose 2
    MedDRA: Dizziness — Feeling: Good
    Free text: Slightly light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  16. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  17. 2021-04-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-10-22
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-11-09
    Dose 3 — Moderna
  22. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  23. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  24. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  25. 2021-11-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-11-18
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-11-23
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-30
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-08
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-02-10
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-05-02
    Dose 4 — Moderna
  32. 2022-05-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  33. 2022-05-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Diarrhea, Abdominal pain
    Adult check-in
  34. 2022-05-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  35. 2022-05-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-05-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-05-18
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-23
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-06-01
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-06-08
    Survey response — day 35, dose 4
    MedDRA: Cough, Oropharyngeal pain, Sinus congestion, Sneezing — Feeling: Fair
    Free text: Sore throat, cough , sneezing and sinus congestion
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-08-04
    Survey response — 3 months, dose 4
    MedDRA: Dizziness, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair
    Free text: Runny nose, congestion, light headness, and sneezing
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-11-02
    Survey response — 6 months, dose 4
    MedDRA: Headache, Photophobia, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Sinus congestion, head ache and extreme sensitivity to light
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-11-02
    Report sent to call center — 6 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  44. 2022-11-03
  45. 2022-11-04
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  46. 2023-01-04
    Dose 5 — Moderna
    Co-administered: Flu
  47. 2023-01-04
    Health check-in — day 0, dose 5
    Feeling: Good · None
    Adult check-in
  48. 2023-01-05
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea
    Adult check-in
  49. 2023-01-06
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Swelling · Diarrhea
    Adult check-in
  50. 2023-01-07
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  51. 2023-01-09
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  52. 2023-01-10
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  53. 2023-01-13
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  54. 2023-01-18
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  55. 2023-02-01
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  56. 2023-02-17
    Survey response — day 42, dose 5
    MedDRA: Injection site pain — Feeling: Good
    MedDRA releases: 2024-11
  57. 2023-04-05
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-23Moderna
32021-11-09Moderna No
42022-05-02Moderna No
52023-01-04Moderna Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-26

Systemic reaction (other): Light headed

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Funny taste in my mouth, and mouth is dry and my thirsty

2021-03-28

Systemic reaction (other): Still have a bad tast in my mouth, and slightly lightheaded

2021-03-29

Systemic reaction (other): Lighthead and bad taste in my mouth

2021-03-30

Systemic reaction (other): Bad taste in mouth . Metallic it seems a little better todaybetter

Release 7 — day 0, dose 2

2021-04-23

Systemic reaction (other): Slightly light headed

Release 11 — day 35, dose 4

2022-06-08

Symptoms: Sore throat, cough , sneezing and sinus congestion

Release 12 — 3 months, dose 4

2022-08-04

Symptoms: Runny nose, congestion, light headness, and sneezing

Release 12 — 6 months, dose 4

2022-11-02

Symptoms: Sinus congestion, head ache and extreme sensitivity to light

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
SDCough · · ✓
SDDizziness · · ✓
SDHeadache · · ✓
SDInjection site pain · · ✓
SDOropharyngeal pain · · ✓
SDPhotophobia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSinus congestion · · ✓
SDSneezing · · ✓
SRODizziness ✓ ✓ ✓
SRODry mouth ✓ · ✓
SRODysgeusia ✓ ✓ ✓
SROTaste disorder ✓ ✓ ✓
SROThirst ✓ ✓ ✓

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

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