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3GY-62596-00427

2 vaccinations 4 coded responses 12 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
800 / CO
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-05
    Dose 1 — Moderna
  2. 2021-02-02
    Dose 2 — Moderna
  3. 2021-02-04
    Registered in v-safe
  4. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Feeling hot, Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: These were all yesterday which was the day after shot #2 and came on 20bhours after the injection. I had severe pain in my back and got sweaty and very hot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blister, Breast swelling — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea, Abdominal pain
    Free text: About 10 days after my first dose i got a blister on my toe and it has still not cleared. May not he related. I also noticed swelling in my left breast that seems to be subsiding, also may nit be relayed but both are new issues..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-07
    Survey response — 3 months, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-08-05
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Got a cold lasted 10 days covid and strep tests negative
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-08-05
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-11-20

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-02-02Moderna

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 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): These were all yesterday which was the day after shot #2 and came on 20bhours after the injection. I had severe pain in my back and got sweaty and very hot

2021-02-05

Systemic reaction (other): About 10 days after my first dose i got a blister on my toe and it has still not cleared. May not he related. I also noticed swelling in my left breast that seems to be subsiding, also may nit be relayed but both are new issues..

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Headaches

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Got a cold lasted 10 days covid and strep tests negative

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
SDHeadache ✓ ✓ ✓
SDNasopharyngitis ✓ · ✓
SDSARS-CoV-2 test negative ✓ · ✓
SROBack pain ✓ ✓ ✓
SROBlister ✓ ✓ ✓
SROBreast swelling ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓

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