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2WX-29067-98981

4 vaccinations 8 coded responses 44 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
282 / NC
Registered
2021-02-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Dose 1 — Moderna
  2. 2021-02-22
    Registered in v-safe
  3. 2021-02-22
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-02-26
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Headache, Injection site erythema, Injection site mass, Injection site pain — Feeling: Good
    Free text: Feb. 19-23 a lump reappeared at the injection site again with redness (2x1.5) and tenderness. Also fatigue and headache occurred again on the same days. All side effects resolved by Feb. 24.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-12
    Dose 2 — Moderna
  7. 2021-03-12
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Photophobia, Tenderness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Free text: Tenderness in the right armpit. Yesterday, I had sensitivity to light but not today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Limb discomfort — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Free text: Mild discomfort in right armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  13. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-26
    Survey response — day 14, dose 2
    MedDRA: Asthenia, Fatigue, Headache, Injection site mass, Injection site pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: March 22: soreness & lump at injection site, headache, overwhelming fatigue, and weakness returned.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-10
    Survey response — day 28, dose 2
    MedDRA: Angular cheilitis, Oral candidiasis, Stomatitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Mouth sores, oral thrush, and angular chelitis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-10
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-04-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-09-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-12-03
    Dose 3 — Moderna
  24. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  25. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  26. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  27. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  28. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  29. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-12-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-12-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-31
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-01-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-01-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-02-17
  37. 2022-03-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-06-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-10-07
    Dose 4 — Moderna
  40. 2022-10-10
    Survey response — days 1–6 daily, dose 4
    MedDRA: Arthralgia, Fatigue, Headache, Injection site pain, Myalgia, Pyrexia — Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities
    Free text: Headache, fatigue, joint and muscle aches, sore injection site, and low-grade fever on 10-08-2022.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-10-11
    Survey response — days 1–6 daily, dose 4
    MedDRA: Squamous cell carcinoma of skin — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: I was diagnosed with squamous cell carcinoma on my face on 04-06-2021.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-10-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  43. 2022-10-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  44. 2022-10-14
    Health check-in — day 7, dose 4
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  45. 2022-10-21
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  46. 2022-10-28
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-11-04
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-11-11
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-11-18
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  50. 2023-01-06
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  51. 2023-04-07
    Survey response — 6 months, dose 4
    MedDRA: Stomatitis — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-12Moderna
32021-12-03Moderna No
42022-10-07Moderna No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-26

Symptoms: Feb. 19-23 a lump reappeared at the injection site again with redness (2x1.5) and tenderness. Also fatigue and headache occurred again on the same days. All side effects resolved by Feb. 24.

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Tenderness in the right armpit. Yesterday, I had sensitivity to light but not today.

2021-03-15

Systemic reaction (other): Mild discomfort in right armpit

Release 6 — day 14, dose 2

2021-03-26

Symptoms: March 22: soreness & lump at injection site, headache, overwhelming fatigue, and weakness returned.

Release 7 — day 28, dose 2

2021-04-10

Symptoms: Mouth sores, oral thrush, and angular chelitis.

Release 12 — days 1–6 daily, dose 4

2022-10-10

Systemic reaction (other): Headache, fatigue, joint and muscle aches, sore injection site, and low-grade fever on 10-08-2022.

2022-10-11

Systemic reaction (other): I was diagnosed with squamous cell carcinoma on my face on 04-06-2021.

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
SDAngular cheilitis ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site mass ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDOral candidiasis ✓ ✓ ✓
SDStomatitis ✓ ✓ ✓
SROArthralgia · · ✓
SROFatigue · · ✓
SROHeadache · · ✓
SROInjection site pain · · ✓
SROLimb discomfort ✓ ✓ ✓
SROMyalgia · · ✓
SROPhotophobia ✓ ✓ ✓
SROPyrexia · · ✓
SROSquamous cell carcinoma of skin · · ✓
SROTenderness ✓ ✓ ✓

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