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2WL-28562-85583

6 vaccinations 8 coded responses 44 check-ins 7 free-text entries 4 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
940 / CA
Registered
2021-04-22
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-26
    Dose 1 — Moderna
  2. 2021-04-22
    Registered in v-safe
  3. 2021-04-22
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  4. 2021-04-23
    Dose 2 — Moderna
  5. 2021-04-23
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Hyperhidrosis, Motion sickness, Pyrexia, Sleep disorder, Swelling, Visual impairment — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Sleep disturbance, extreme aura & vision change, everything is so loud, extreme sweating, feels like a fever dream, slow motion,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: At least 50% better overall then yesterday,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-30
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: Nothing not related to my autoimmune disorders
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-29
    Survey response — day 35, dose 2
    MedDRA: Chills, Hot flush, Night sweats — Feeling: Fair
    Free text: Ive had night sweats/hot flashes (which are not typical) (not severe but consistent) and Ill wake up hot and/or sweaty I generally do not sweat in my sleep ever unless its sweltering out. After 2nd dose was first time I sweat in sleep in 6+
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-23
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-08-26
    Dose 3 — Moderna
  18. 2021-10-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-27
    Survey response — 3 months, dose 3
    MedDRA: Office visit, Ovarian cyst, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Complex Ovarian cyst. Right arm rotator cuff problems · Healthcare visit (other): Regular doctors visit with appointment
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-11-27
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  21. 2021-11-30
  22. 2022-02-17
    Dose 4 — Moderna
  23. 2022-02-26
    Health check-in — day 7, dose 4
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  24. 2022-02-26
    Survey response — 6 months, dose 3
    MedDRA: COVID-19, Cartilage injury — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: I had Covid-19. I also was diagnosed with unrelated supraspinitus & labrum tears in my right shoulder
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-02-26
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2022-03-02
  27. 2022-03-05
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  28. 2022-03-10
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  29. 2022-03-19
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-03-26
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-04-02
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  32. 2022-05-21
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-08-20
    Survey response — 6 months, dose 4
    MedDRA: Hospitalisation, Medical procedure, Pre-existing disease, Rotator cuff repair, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Symptoms: I had rotator cuff surgery and other procedures related to my chronic pain conditions · Healthcare visit (other): It was surgery in a hospital Stayed one night
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-08-20
    Report sent to call center — 6 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  35. 2022-08-22
  36. 2022-08-22
  37. 2022-08-22
  38. 2022-08-25
    Dose 5 — Moderna
  39. 2022-08-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  40. 2022-08-29
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  41. 2022-08-31
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  42. 2022-09-03
    Health check-in — day 7, dose 5
    Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  43. 2022-09-10
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-09-17
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  45. 2022-09-22
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  46. 2022-09-29
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  47. 2022-10-07
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  48. 2022-11-15
    Dose 6 — Moderna
  49. 2022-11-17
    Health check-in — days 1–6 daily, dose 6
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  50. 2022-11-19
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  51. 2022-11-20
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  52. 2022-11-22
    Health check-in — day 7, dose 6
    Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school
    Adult check-in
  53. 2022-11-29
    Health check-in — day 14, dose 6
    Feeling: Good
    Adult check-in
  54. 2022-12-08
    Health check-in — day 21, dose 6
    Feeling: Good
    Adult check-in
  55. 2022-12-14
    Health check-in — day 28, dose 6
    Feeling: Fair
    Adult check-in
  56. 2022-12-22
    Health check-in — day 35, dose 6
    Feeling: Good
    Adult check-in
  57. 2022-12-28
    Health check-in — day 42, dose 6
    Feeling: Good
    Adult check-in
  58. 2023-02-16
    Health check-in — 3 months, dose 6
    Feeling: Fair
    Adult check-in
  59. 2023-05-16
    Survey response — 6 months, dose 6
    MedDRA: Endometriosis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  60. 2023-05-16
    Report sent to call center — 6 months, dose 6
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  61. 2023-05-17
  62. 2023-05-17
  63. 2023-05-17
  64. 2023-05-17

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-23Moderna
32021-08-26Moderna No
42022-02-17Moderna No
52022-08-25Moderna No
62022-11-15Moderna No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Sleep disturbance, extreme aura & vision change, everything is so loud, extreme sweating, feels like a fever dream, slow motion,

2021-04-25

Systemic reaction (other): At least 50% better overall then yesterday,

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): Nothing not related to my autoimmune disorders

Release 8 — day 35, dose 2

2021-05-29

Symptoms: Ive had night sweats/hot flashes (which are not typical) (not severe but consistent) and Ill wake up hot and/or sweaty I generally do not sweat in my sleep ever unless its sweltering out. After 2nd dose was first time I sweat in sleep in 6+

Release 10 — 3 months, dose 3

2021-11-27

Symptoms: Complex Ovarian cyst. Right arm rotator cuff problems
Healthcare visit (other): Regular doctors visit with appointment

Release 11 — 6 months, dose 3

2022-02-26

Symptoms: I had Covid-19. I also was diagnosed with unrelated supraspinitus & labrum tears in my right shoulder

Release 12 — 6 months, dose 4

2022-08-20

Symptoms: I had rotator cuff surgery and other procedures related to my chronic pain conditions
Healthcare visit (other): It was surgery in a hospital Stayed one night

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
HCVOHospitalisation · · ✓
HCVOOffice visit · · ✓
HCVOSurgery · · ✓
SDCartilage injury · · ✓
SDChills ✓ ✓ ○
SDCOVID-19 · · ✓
SDEndometriosis · · ✓
SDHot flush ✓ ✓ ✓
SDMedical procedure · · ✓
SDNight sweats ✓ ✓ ✓
SDOvarian cyst · · ✓
SDPre-existing disease · · ✓
SDRotator cuff repair · · ✓
SDUnevaluable event · · ✓
SROAdverse reaction ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROMotion sickness ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVisual impairment ✓ ✓ ✓

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