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2R6-13098-04194

2 vaccinations 4 coded responses 27 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
133 / NY
Registered
2021-03-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Registered in v-safe
  2. 2021-03-08
    Dose 1 — Moderna
  3. 2021-03-08
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Fatigue or tiredness
    Adult check-in
  7. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain lower, Pain, Self-medication, Skin swelling — Feeling: Good
    Free text: I feel a little puffy, for lack of a better word. I felt a dull throb in my lower right abdomen that went away after taking ibuprofen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node in armpit area on the arm where the shot was administered
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-15
    Survey response — day 7, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph node in armpit on arm where I received shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-05
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-09
    Dose 2 — Moderna
  15. 2021-04-09
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-10
    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 do your normal daily activities
    Adult check-in
  17. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  18. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  19. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  20. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  21. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  22. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  23. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-08
    Survey response — 6 months, dose 2
    MedDRA: Gastritis, Oesophageal discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Gastritis, chronic in nature. I just went to see a specialist after having had a CT scan and abdominal ultrasound. Symptoms started 4-5 weeks after vaccine, but peaked at about 8 weeks after vaccine. Started as esophagus discomfort then gastritis. · Healthcare visit (other): Primary care visits and then just saw a gastroenterologist
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-08
    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)
  31. 2021-10-15
  32. 2022-04-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna
22021-04-09Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): I feel a little puffy, for lack of a better word. I felt a dull throb in my lower right abdomen that went away after taking ibuprofen.

2021-03-14

Systemic reaction (other): Swollen lymph node in armpit area on the arm where the shot was administered

Release 5 — day 7, dose 1

2021-03-15

Systemic reaction (other): Swollen lymph node in armpit on arm where I received shot

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Gastritis, chronic in nature. I just went to see a specialist after having had a CT scan and abdominal ultrasound. Symptoms started 4-5 weeks after vaccine, but peaked at about 8 weeks after vaccine. Started as esophagus discomfort then gastritis. cut off by CDC
Healthcare visit (other): Primary care visits and then just saw a gastroenterologist

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 · · ✓
SDGastritis · · ✓
SDOesophageal discomfort · · ✓
SROAbdominal pain lower ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSkin swelling ✓ ✓ ✓

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