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2N5-14542-61379

1 vaccination 5 coded responses 12 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
932 / CA
Registered
2021-02-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-17
    Registered in v-safe
  2. 2021-02-17
    Dose 1 — Moderna
  3. 2021-02-17
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness
    Free text: Very mild sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness · Fever · Fatigue or tiredness
    Adult check-in
  6. 2021-02-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness
    Free text: My body temperature normally sits around 96 to 97 degrees
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-03
    Survey response — day 14, dose 1
    MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: Good
    Free text: I have a cold. Nasal congestion and a very mild sore throat. May be allergy related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-10
    Survey response — day 21, dose 1
    MedDRA: Deafness unilateral — Feeling: Good
    Free text: Im losing hearing in my right ear. The ENT Dr Im seeing does not know the cause but suspects that I have had (or have) a viral infection of the inner ear, or that I may have a growth on the nerve of the right ear. He has ordered a MRI and lab t
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-19
    Survey response — 3 months, dose 1
    MedDRA: Deafness, Ear infection viral, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Viral infection of the inner ear, resulting in hearing loss · Healthcare visit (other): In person appointments
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-19
    Report sent to call center — 3 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-08-18
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  15. 2022-02-18
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2022-05-10
    Call successful
    Not applicable - Accidental Reporting

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Very mild sore throat

2021-02-20

Systemic reaction (other): My body temperature normally sits around 96 to 97 degrees

Release 4 — day 14, dose 1

2021-03-03

Symptoms: I have a cold. Nasal congestion and a very mild sore throat. May be allergy related

Release 5 — day 21, dose 1

2021-03-10

Symptoms: Im losing hearing in my right ear. The ENT Dr Im seeing does not know the cause but suspects that I have had (or have) a viral infection of the inner ear, or that I may have a growth on the nerve of the right ear. He has ordered a MRI and lab t

Release 8 — 3 months, dose 1

2021-05-19

Symptoms: Viral infection of the inner ear, resulting in hearing loss
Healthcare visit (other): In person appointments

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 ✓ ✓ ✓
SDDeafness ✓ ✓ ✓
SDDeafness unilateral ✓ ✓ ✓
SDEar infection viral ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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