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2XU-82449-00400

4 vaccinations 10 coded responses 49 check-ins 10 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
191 / PA
Registered
2021-02-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-27
    Registered in v-safe
  2. 2021-02-27
    Dose 1 — Moderna
  3. 2021-02-27
    Survey response — day 0, dose 1
    MedDRA: Feeling hot, Muscular weakness — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: leg weakness, warmth in right hand (opposite of injection)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  5. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Nausea, Diarrhea
    Adult check-in
  8. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Nausea, Diarrhea
    Adult check-in
  9. 2021-03-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-13
    Survey response — day 14, dose 1
    MedDRA: Diarrhoea, Immunisation reaction, Injection site erythema, Injection site rash, Nausea, Pain in extremity, Rash macular — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Covid arm- red splotchy rash near injection site. Aching hands. Nausea and diarrhea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-20
    Survey response — day 21, dose 1
    MedDRA: Chills, Respiratory tract congestion — Feeling: Good
    Free text: Had a little bit of chills one day and a little congestion. Thought I was getting sick, but didnt.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-27
    Dose 2 — Moderna
  13. 2021-03-27
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  14. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vision blurred — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: blurred vision
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  16. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Joint pains, Nausea
    Adult check-in
  17. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  18. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  19. 2021-04-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-16
    Dose 3 — Moderna
  28. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Nausea
    Adult check-in
  29. 2021-11-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness
    Free text: Swollen lymph nodes in armpit on injection side.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-19
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache
    Free text: Swollen lymph nodes in armpit on injection side
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  33. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-23
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-30
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-07
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-14
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-21
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-28
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-02-17
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-05-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-09-10
    Dose 4 — Moderna
  43. 2022-09-10
    Survey response — day 0, dose 4
    MedDRA: Dysgeusia — Feeling: Good
    Free text: metallic taste in mouth
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-09-11
    Survey response — days 1–6 daily, dose 4
    MedDRA: Vision blurred — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Blurry vision in left eye
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-09-12
    Survey response — days 1–6 daily, dose 4
    MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain
    Free text: mild sore throat
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-09-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-09-17
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-09-26
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-10-01
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-10-08
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-10-15
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-10-26
    Survey response — day 42, dose 4
    MedDRA: Dyspnoea, Muscle tightness, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: muscle tightness, SOB, ongoing medical condition
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-10-26
    Report sent to call center — day 42, dose 4
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  54. 2022-10-28
  55. 2022-12-10
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  56. 2023-03-11
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna
22021-03-27Moderna
32021-11-16Moderna No
42022-09-10Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-27

Systemic reaction (other): leg weakness, warmth in right hand (opposite of injection)

Release 5 — day 14, dose 1

2021-03-13

Symptoms: Covid arm- red splotchy rash near injection site. Aching hands. Nausea and diarrhea.

Release 6 — day 21, dose 1

2021-03-20

Symptoms: Had a little bit of chills one day and a little congestion. Thought I was getting sick, but didnt.

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): blurred vision

Release 10 — days 1–6 daily, dose 3

2021-11-18

Systemic reaction (other): Swollen lymph nodes in armpit on injection side.

2021-11-19

Systemic reaction (other): Swollen lymph nodes in armpit on injection side

Release 12 — day 0, dose 4

2022-09-10

Systemic reaction (other): metallic taste in mouth

Release 12 — days 1–6 daily, dose 4

2022-09-11

Systemic reaction (other): Blurry vision in left eye

2022-09-12

Systemic reaction (other): mild sore throat

Release 12 — day 42, dose 4

2022-10-26

Symptoms: muscle tightness, SOB, ongoing medical condition

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
SDChills ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDDyspnoea · · ✓
SDImmunisation reaction · · ✓
SDInjection site erythema · · ✓
SDInjection site rash · · ✓
SDMuscle tightness · · ✓
SDNausea ✓ ✓ ✓
SDPain in extremity · · ✓
SDPre-existing disease · · ✓
SDRash macular ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SRODysgeusia · · ✓
SROFeeling hot ✓ ✓ ✓
SROLymphadenopathy · · ✓
SROMuscular weakness ✓ ✓ ✓
SROOropharyngeal pain · · ✓
SROVision blurred ✓ ✓ ✓

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

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