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2LR-29969-29788

2 vaccinations 5 coded responses 12 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
857 / AZ
Registered
2021-03-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Dose 1 — Moderna
  2. 2021-03-25
    Registered in v-safe
  3. 2021-03-25
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-03-30
    Survey response — day 14, dose 1
    MedDRA: Ear discomfort, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Suffed like with cotton ears . Was dau after 3/17vaccinstion nbr 1 and 2 days a week later · Healthcare visit (other): Went to see mg primary. Had other nonrelated issues also.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-30
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-06
    Survey response — day 21, dose 1
    MedDRA: Breast pain — Feeling: Good
    Free text: Slight sore spots under left arm by bbreast mabe thr lymph nodes was not even 12 hrs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-13
    Survey response — day 28, dose 1
    MedDRA: Aortic aneurysm, Chest X-ray, Chest pain, Headache, Hypersensitivity, Neck pain, Respiratory disorder, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: 12 hour er visit last night chest psin also neck nodes pain headache check aortic aneurysm chest xray covid test ekg iodine cat scan of chest upper body. All neg for heart or pneumonia. Feels like upper respiratory, and allergies. Final diagnosis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-13
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-04-17
    Dose 2 — Moderna
  10. 2021-04-17
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Slight symptoms all except for medium woozyness yesterday and some today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  15. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  16. 2021-04-24
    Survey response — day 7, dose 2
    MedDRA: Ear discomfort — Feeling: Fair
    Free text: Stuffed ears like full of cotton past two days. It also happened 2 weeks and 4 weeks after first shot. Haven't had that for years and years
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-28

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-17Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Suffed like with cotton ears . Was dau after 3/17vaccinstion nbr 1 and 2 days a week later
Healthcare visit (other): Went to see mg primary. Had other nonrelated issues also.

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Slight sore spots under left arm by bbreast mabe thr lymph nodes was not even 12 hrs

Release 7 — day 28, dose 1

2021-04-13

Symptoms: 12 hour er visit last night chest psin also neck nodes pain headache check aortic aneurysm chest xray covid test ekg iodine cat scan of chest upper body. All neg for heart or pneumonia. Feels like upper respiratory, and allergies. Final diagnosis cut off by CDC

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Slight symptoms all except for medium woozyness yesterday and some today.

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): Stuffed ears like full of cotton past two days. It also happened 2 weeks and 4 weeks after first shot. Haven't had that for years and years

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
HCVOOffice visit ✓ ✓ ✓
HCVOPre-existing disease ✓ ✓ ✓
SDAortic aneurysm ✓ ✓ ✓
SDBreast pain ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDChest X-ray ✓ ✓ ✓
SDEar discomfort ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDRespiratory disorder ✓ ✓ ✓
SDSARS-CoV-2 test ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓

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