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36Q-77167-01305

3 vaccinations 2 coded responses 28 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
441 / OH
Registered
2021-02-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-07
    Registered in v-safe
  2. 2021-02-07
    Dose 1 — Moderna
  3. 2021-02-07
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-02-14
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  11. 2021-02-21
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-02-28
    Survey response — day 21, dose 1
    MedDRA: Breast pain, Chest pain — Feeling: Fair
    Free text: Continued pain in left side of chest/breast, same side as vaccine. Likely lymph nodes. Has been the case since vaccine but has still not gone away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-07
    Dose 2 — Moderna
  14. 2021-03-07
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  19. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Diarrhea, Abdominal pain
    Adult check-in
  20. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  21. 2021-03-14
    Health check-in — day 7, dose 2
    Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea, Abdominal pain
    Adult check-in
  22. 2021-03-21
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-03-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-04
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-04-12
    Survey response — day 35, dose 2
    MedDRA: Hypoaesthesia, Pain, Paraesthesia, Swelling, Unevaluable event, Vascular pain, Vasodilatation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Swollen veins and Sharp pains in veins of hand, arms, legs, feet; then tingling and slight numbness and bad ache in those areas after. Unrelated to exercise. Became much worse 2-3 days ago. Especially bad in left hand (got vaccine in left arm). · Healthcare visit (other): Waiting on appointment
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-12
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-04-20
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-06-07
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  29. 2021-09-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-12-21
    Dose 3 — Moderna
  31. 2022-03-07
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-03-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-05-04
    Call successful
    Not applicable - Accidental Reporting
  34. 2022-06-21
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-07Moderna
22021-03-07Moderna
32021-12-21Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-02-28

Symptoms: Continued pain in left side of chest/breast, same side as vaccine. Likely lymph nodes. Has been the case since vaccine but has still not gone away

Release 7 — day 35, dose 2

2021-04-12

Symptoms: Swollen veins and Sharp pains in veins of hand, arms, legs, feet; then tingling and slight numbness and bad ache in those areas after. Unrelated to exercise. Became much worse 2-3 days ago. Especially bad in left hand (got vaccine in left arm).
Healthcare visit (other): Waiting on appointment

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
HCVOUnevaluable event ✓ ✓ ✓
SDBreast pain ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SDVascular pain ✓ ✓ ✓
SDVasodilatation ✓ ✓ ✓

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