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3BU-23444-37046

1 vaccination 5 coded responses 10 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
303 / GA
Registered
2021-02-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Dose 1 — Moderna
  2. 2021-02-14
    Registered in v-safe
  3. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  6. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Fatigue or tiredness
    Free text: My answers have all been about my SECOND DOSE, not my first. Second received on 02/13/2021 and first received on 01/15/2021. Vsafe does not allow me to correct that on my profile.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Muscle or body aches
    Free text: This report is for mr SECOND DOSE OF THE VACCINE.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Site: Itching
    Free text: These reports are for my SECOND DOSE of the vaccine received on 02/13/2021. First dose was received on 01/15/2021 and sore arm for a few days was the only side effect.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-20
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Headache
    Free text: These answers all have to do to my SECOND DOSE received 02/13/2021. First dose was received 01/15/2021.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2022-02-13
    Survey response — 12 months, dose 1
    MedDRA: Back pain, Oropharyngeal pain — Feeling: Good
    Free text: Sore throat Backache
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): My answers have all been about my SECOND DOSE, not my first. Second received on 02/13/2021 and first received on 01/15/2021. Vsafe does not allow me to correct that on my profile.

2021-02-18

Systemic reaction (other): This report is for mr SECOND DOSE OF THE VACCINE.

2021-02-19

Systemic reaction (other): These reports are for my SECOND DOSE of the vaccine received on 02/13/2021. First dose was received on 01/15/2021 and sore arm for a few days was the only side effect.

Release 4 — day 7, dose 1

2021-02-20

Systemic reaction (other): These answers all have to do to my SECOND DOSE received 02/13/2021. First dose was received 01/15/2021.

Release 11 — 12 months, dose 1

2022-02-13

Symptoms: Sore throat Backache

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
SDBack pain · · ✓
SDOropharyngeal pain · · ✓
SROPain in extremity ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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