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34K-26184-32526

2 vaccinations 3 coded responses 10 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
922 / CA
Registered
2021-05-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
GSJ-21471-94057 Child or adolescent in my care · Male · 2021-06-30
3UH-62687-10447 Child or adolescent in my care · Female · 2021-06-30
SNU-11463-04836 Child or adolescent in my care · Male · 2022-06-29

Timeline

  1. 2021-04-03
    Dose 1 — Moderna
  2. 2021-05-01
    Dose 2 — Moderna
  3. 2021-05-02
    Registered in v-safe
  4. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-05-11
    Health check-in — day 7, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-05-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-05-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-05-29
    Survey response — day 28, dose 2
    MedDRA: Pre-existing disease, Psoriasis, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Moderate psoriasis on arms has become severely inflamed and seems to be getting worse. · Healthcare visit (other): Made appt for 6/2/2021
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-29
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-06-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-10-30
    Survey response — 6 months, dose 2
    MedDRA: Heavy menstrual bleeding, Menopause — Feeling: Good · Be unable to do your normal daily activities
    Free text: I am menopausal and have not had a period in over 2 years. Since my first Moderna shot I have had 2 very heavy,longer than before, periods. My 26 year old daughter got the Pfizer (both shots) about 3 months ago,and hasn't stopped bleeding since.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-05-01
    Survey response — 12 months, dose 2
    MedDRA: Mass, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Mass found on right side of chest. · Healthcare visit (other): Primary doctor visit; referral to ER for chest xrays
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-05-01
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2022-05-02
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-04-03Moderna
22021-05-01Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-05-29

Symptoms: Moderate psoriasis on arms has become severely inflamed and seems to be getting worse.
Healthcare visit (other): Made appt for 6/2/2021

Release 10 — 6 months, dose 2

2021-10-30

Symptoms: I am menopausal and have not had a period in over 2 years. Since my first Moderna shot I have had 2 very heavy,longer than before, periods. My 26 year old daughter got the Pfizer (both shots) about 3 months ago,and hasn't stopped bleeding since.

Release 11 — 12 months, dose 2

2022-05-01

Symptoms: Mass found on right side of chest.
Healthcare visit (other): Primary doctor visit; referral to ER for chest xrays

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 · · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDHeavy menstrual bleeding · · ✓
SDMass · · ✓
SDMenopause · · ✓
SDPre-existing disease ✓ ✓ ✓
SDPsoriasis ✓ ✓ ✓

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

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