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363-17177-32685

2 vaccinations 4 coded responses 20 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
106 / NY
Registered
2021-03-02
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Registered in v-safe
  2. 2021-03-02
    Dose 1 — Moderna
  3. 2021-03-02
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Good · Site: Pain
    Free text: Mild pain and stiffness the back of the neck.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Headache
    Free text: One episode of light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-30
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-31
    Dose 2 — Moderna
  14. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain, Chills, Cold sweat, Condition aggravated, Diarrhoea, Pre-existing disease — Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: I had pre-exsisted condition of sevious abdominal pain and diarrhea with cold sweat once every few months. It happened on the next day I received the vaccine plus chill during and after. Usually, if I had an episode, it only happened once, then wouldnt happen again till another 2to3 months. However, this this time it happened in 2 days in a roll.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-04-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-12
    Survey response — day 42, dose 2
    MedDRA: Adverse reaction, Office visit, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: After Mother's day lunch. Later symptoms similar to after 2nd vaccine occurred. 2nd vaccine done on 3/31. Side effect occurred next day, last for a few days. Not sure why symptoms returned. · Healthcare visit (other): Saw primary doctor, tested for covid 19, still waiting for the result.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-12
    Report sent to call center — day 42, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-06-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-04-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-05-10

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-31Moderna

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 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Mild pain and stiffness the back of the neck.

2021-03-06

Systemic reaction (other): One episode of light headed

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): I had pre-exsisted condition of sevious abdominal pain and diarrhea with cold sweat once every few months. It happened on the next day I received the vaccine plus chill during and after. Usually, if I had an episode, it only happened once, then wouldnt happen again till another 2to3 months. However, this this time it happened in 2 days in a roll.

Release 8 — day 42, dose 2

2021-05-12

Symptoms: After Mother's day lunch. Later symptoms similar to after 2nd vaccine occurred. 2nd vaccine done on 3/31. Side effect occurred next day, last for a few days. Not sure why symptoms returned.
Healthcare visit (other): Saw primary doctor, tested for covid 19, still waiting for the result.

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 ✓ ✓ ✓
HCVOSARS-CoV-2 test positive ✓ ✓ ✓
SDAdverse reaction ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROCold sweat ✓ · ✓
SROCondition aggravated ✓ · ✓
SRODiarrhoea ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPre-existing disease ✓ · ✓

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