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2MA-26869-66288

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
803 / CO
Registered
2021-01-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site discomfort, Pain in extremity — Feeling: Good
    Free text: My arm was slightly sore yesterday 5 hours after the shot. Today there is tiny discomfort when I press down in the shot area. Hardly noticeable.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-08
    Dose 2 — Moderna
  14. 2021-02-08
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Office visit, Salivary gland enlargement — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): I have a swollen salivary gland on opposite side of vaccination. Dr.?said probably not related to my shot yesterday · Healthcare visit (other): Family practice
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-09
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  19. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-10
    Survey response — 3 months, dose 2
    MedDRA: Renal mass — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Mass in kidney
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-05-10
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-06-08
  30. 2021-08-09
    Survey response — 6 months, dose 2
    MedDRA: Pelvic venous thrombosis, Uterine leiomyoma — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: In May I had a retro peritoneal fibroid that is shrinking and a pelvic area blood clot whckAtaigaediciefr.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  31. 2021-08-09
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  32. 2021-08-16
  33. 2021-08-16
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  34. 2022-02-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-08Moderna

Call center

3 call center cases

1 successful · 2 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-11

Systemic reaction (other): No

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): My arm was slightly sore yesterday 5 hours after the shot. Today there is tiny discomfort when I press down in the shot area. Hardly noticeable.

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): I have a swollen salivary gland on opposite side of vaccination. Dr.?said probably not related to my shot yesterday
Healthcare visit (other): Family practice

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): No

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: Mass in kidney

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: In May I had a retro peritoneal fibroid that is shrinking and a pelvic area blood clot whckAtaigaediciefr.

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 ✓ ✓ ✓
SDPelvic venous thrombosis ✓ · ✓
SDRenal mass ✓ ✓ ✓
SDUterine leiomyoma ✓ · ✓
SROInjection site discomfort ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSalivary gland enlargement ✓ ✓ ✓
SROUnevaluable event ○ ○ ○

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