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3L6-31480-01811

2 vaccinations 4 coded responses 18 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
970 / OR
Registered
2021-01-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-09
    Registered in v-safe
  2. 2021-01-09
    Dose 1 — Moderna
  3. 2021-01-09
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  5. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  6. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  7. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-23
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good
    Free text: Seemed like redness had gone away, then it came back and got pretty red at the sight of injection and was a bit itchy. I may have just missed that it was still red though, that it hadnt completely gone away. Barely red anymore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-06
    Dose 2 — Moderna
  14. 2021-02-20
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Nausea, Pain in extremity, Pyrexia, Self-medication — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: After second vaccine- I had some arm pain without redness, and some fatigue. The next day I had mild nausea, really fatigued and for a few hours a fever of 100.5-100.7 which resolved and never came back after taking 200 mg of ibuprofen once.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-07
    Survey response — 6 months, dose 2
    MedDRA: Coital bleeding, Office visit, Ovarian cyst, Vascular neoplasm — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Post Coital bleeding. Vascular lesion in cervix and cysts on ovaries. Having Hysterectomy. · Healthcare visit (other): Saw gynecologist -Doubt its vaccine related
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-08-07
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-11-24
  23. 2022-02-06
    Survey response — 12 months, dose 2
    MedDRA: Hysterectomy, Ovarian cyst, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Cyst on ovary- Had to have a hysterectomy- all benign issues · Healthcare visit (other): This is just to keep you informed of all changes
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-02-06
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Hospitalization · 1 call case(s)
  25. 2022-02-21
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna
22021-02-06Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-23

Symptoms: Seemed like redness had gone away, then it came back and got pretty red at the sight of injection and was a bit itchy. I may have just missed that it was still red though, that it hadnt completely gone away. Barely red anymore.

Release 4 — day 14, dose 2

2021-02-20

Symptoms: After second vaccine- I had some arm pain without redness, and some fatigue. The next day I had mild nausea, really fatigued and for a few hours a fever of 100.5-100.7 which resolved and never came back after taking 200 mg of ibuprofen once.

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Post Coital bleeding. Vascular lesion in cervix and cysts on ovaries. Having Hysterectomy.
Healthcare visit (other): Saw gynecologist -Doubt its vaccine related

Release 11 — 12 months, dose 2

2022-02-06

Symptoms: Cyst on ovary- Had to have a hysterectomy- all benign issues
Healthcare visit (other): This is just to keep you informed of all changes

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
HCVOOffice visit ✓ · ✓
HCVOUnevaluable event · · ✓
SDCoital bleeding ✓ · ✓
SDFatigue ✓ ✓ ✓
SDHysterectomy · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOvarian cyst ✓ · ✓
SDPain in extremity ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDVascular neoplasm ✓ · ✓

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