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2JE-28388-50260

3 vaccinations 4 coded responses 23 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
627 / IL
Registered
2020-12-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-28
    Registered in v-safe
  2. 2020-12-28
    Dose 1 — Moderna
  3. 2020-12-28
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Headache
    Free text: Bad Headache yesterday also within 30 minutes of injection. I was unable to go back and change my report.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-25
    Dose 2 — Moderna
  12. 2021-01-25
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  13. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  15. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good
    Free text: 1st 2 days felt dizzy with movement and didnt report it until others said they had the same.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  18. 2021-02-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-01
    Survey response — day 35, dose 2
    MedDRA: Axillary mass, Axillary pain — Feeling: Good
    Free text: Small lump/lymph node in left axillary that was extremely sore for the first 2 days. Soreness has gone but lump remains. About the size of my pinky fingertip or a large pea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-12-07
    Dose 3 — Moderna
  27. 2022-01-25
    Survey response — 12 months, dose 2
    MedDRA: Cough, Fatigue, Oropharyngeal pain, Sinus pain, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Sinus pain, post nasal drip ,sore throat,cough l. Feeling tired run down today.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-01-25
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2022-01-26
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna
22021-01-25Moderna
32021-12-07Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Bad Headache yesterday also within 30 minutes of injection. I was unable to go back and change my report.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): 1st 2 days felt dizzy with movement and didnt report it until others said they had the same.

Release 4 — day 35, dose 2

2021-03-01

Symptoms: Small lump/lymph node in left axillary that was extremely sore for the first 2 days. Soreness has gone but lump remains. About the size of my pinky fingertip or a large pea.

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Sinus pain, post nasal drip ,sore throat,cough l. Feeling tired run down today.

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 mass ✓ ✓ ✓
SDAxillary pain ✓ ✓ ✓
SDCough · · ✓
SDFatigue · · ✓
SDOropharyngeal pain · · ✓
SDSinus pain · · ✓
SDUpper-airway cough syndrome · · ✓
SRODizziness ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓

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