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2FH-30907-17156

4 vaccinations 4 coded responses 47 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
802 / CO
Registered
2021-03-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Registered in v-safe
  2. 2021-03-23
    Dose 1 — Moderna
  3. 2021-03-23
    Health check-in — day 0, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches
    Adult check-in
  5. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness
    Adult check-in
  6. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Swollen painful lymph node in the armpit on the side where I got the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-20
    Dose 2 — Moderna
  13. 2021-04-20
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache
    Adult check-in
  16. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-27
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-05-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-20
    Survey response — 3 months, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-19
    Survey response — 6 months, dose 2
    MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-19
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2021-10-21
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  30. 2021-10-29
    Dose 3 — Moderna
  31. 2021-10-29
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  32. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  33. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  34. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site mass, Injection site reaction — Feeling: Fair · Site: Pain, Swelling
    Free text: Painful lump on the muscle where the injection happened
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  36. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · None · Be unable to do your normal daily activities
    Adult check-in
  37. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  38. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Swelling · None
    Adult check-in
  39. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-01-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-04-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-09-22
    Dose 4 — Moderna
  47. 2022-10-05
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-10-06
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-10-15
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-10-20
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-10-27
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-11-05
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-12-24
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  54. 2023-03-25
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna
22021-04-20Moderna
32021-10-29Moderna No
42022-09-22Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-19 Successful
2021-10-21
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Swollen painful lymph node in the armpit on the side where I got the shot

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Pregnancy

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Pregnancy

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): Painful lump on the muscle where the injection happened

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
SDPregnancy · · ✓
SROInjection site mass · · ✓
SROInjection site reaction · · ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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

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