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3DH-26576-52829

2 vaccinations 6 coded responses 19 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
463 / IN
Registered
2021-02-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-06
    Registered in v-safe
  2. 2021-02-06
    Dose 1 — Moderna
  3. 2021-02-06
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-27
    Survey response — day 21, dose 1
    MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: In the last 11 days, 2 days of extreme tiredness all day. 10 days apart. Several naps each of those days and 12 hours of night time sleep.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-06
    Dose 2 — Moderna
  14. 2021-03-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-22
    Survey response — day 14, dose 2
    MedDRA: Nausea — Feeling: Good
    Free text: Nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-03
    Survey response — day 28, dose 2
    MedDRA: Cough, Eye pruritus, Hypersensitivity, Productive cough, Pruritus, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose, itchy nose, itchy eyes, coughin, phlegm...due to spring allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-05
    Survey response — 3 months, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Yearly Blood test result show rise in glucose, eos, low creatinine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-09-06
    Survey response — 6 months, dose 2
    MedDRA: Allergy to venom, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Urinary tract infectionModerate allergic reaction to wasp stings
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-09-06
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-09-10
  24. 2022-03-08
    Survey response — 12 months, dose 2
    MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Runny nose, sore throat, chest congestion · Healthcare visit (other): Covid test at CVS
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-03-08
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  26. 2022-03-10

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Moderna
22021-03-06Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-02-27

Symptoms: In the last 11 days, 2 days of extreme tiredness all day. 10 days apart. Several naps each of those days and 12 hours of night time sleep.

Release 6 — day 14, dose 2

2021-03-22

Symptoms: Nausea

Release 6 — day 28, dose 2

2021-04-03

Symptoms: Runny nose, itchy nose, itchy eyes, coughin, phlegm...due to spring allergies

Release 8 — 3 months, dose 2

2021-06-05

Symptoms: Yearly Blood test result show rise in glucose, eos, low creatinine

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: Urinary tract infectionModerate allergic reaction to wasp stings

Release 11 — 12 months, dose 2

2022-03-08

Symptoms: Runny nose, sore throat, chest congestion
Healthcare visit (other): Covid test at CVS

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
HCVOSARS-CoV-2 test · · ✓
SDAllergy to venom ✓ · ✓
SDCough ✓ ✓ ✓
SDEye pruritus ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDProductive cough ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SDUrinary tract infection ✓ · ✓

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

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