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373-38388-97846

1 vaccination 4 coded responses 9 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
945 / CA
Registered
2020-12-30
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-01
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Oedema peripheral, Self-medication — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I got a pain and swelling in my arm pit. I called my doctor. She thinks is an allergic reaction to the vaccine. If it gets worse I will call her back. I am taking Tylenol.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-02
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Immunisation reaction — Feeling: Good
    Free text: Pain under the armpit. Same arm I got the vaccine. Doctor says it a a reaction to the vaccine, getting better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain — Feeling: Good
    Free text: Pain under my armpit. Same arm of the vaccine injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-06-30
    Survey response — 6 months, dose 1
    MedDRA: Appendicitis, Surgery — Feeling: Good · Be unable to work or attend school
    Free text: I got apendicitis. I had to have an emergency surgery. I am recovering from it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna

Call center

2 call center cases

2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): I got a pain and swelling in my arm pit. I called my doctor. She thinks is an allergic reaction to the vaccine. If it gets worse I will call her back. I am taking Tylenol.

2021-01-03

Systemic reaction (other): Pain under the armpit. Same arm I got the vaccine. Doctor says it a a reaction to the vaccine, getting better.

2021-01-04

Systemic reaction (other): Pain under my armpit. Same arm of the vaccine injection.

Release 9 — 6 months, dose 1

2021-06-30

Symptoms: I got apendicitis. I had to have an emergency surgery. I am recovering from it.

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
SDAppendicitis ✓ ✓ ✓
SDSurgery ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROHypersensitivity ○ ○ ○
SROImmunisation reaction ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROTelemedicine ○ ○ ○

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