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3MX-30832-22406

3 vaccinations 5 coded responses 33 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
801 / CO
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-19
    Dose 1 — Moderna
  2. 2021-03-03
    Registered in v-safe
  3. 2021-03-03
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2021-03-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-12
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-03-19
    Dose 2 — Moderna
  7. 2021-03-19
    Survey response — day 0, dose 2
    MedDRA: Dizziness — Feeling: Poor · Headache, Fatigue or tiredness
    Free text: Light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  9. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  10. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  11. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  13. 2021-03-26
    Survey response — day 7, dose 2
    MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Headache, Muscle or body aches
    Free text: Left leg has pain in the calf and behind knee
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-16
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Left leg behind knee causing severe pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-23
    Survey response — day 35, dose 2
    MedDRA: Cough, Eructation — Feeling: Fair
    Free text: This actually started 3/30, 11 days after 2nd vaccine. When I cough or burp, vaper or what looks like smoke comes out of my mouth.Never had this before and I do not smoke. I have scheduled an appt with my dr to discuss.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-30
    Survey response — day 42, dose 2
    MedDRA: Cough, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Still coughing vaper (smoke) and do not smoke at all. See physician on 5.6.21 · Healthcare visit (other): Have appt 5.6.21 at dr office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-30
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-06-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-29
    Dose 3 — Moderna
  23. 2021-10-29
    Health check-in — day 0, dose 3
    Feeling: Good · Headache
    Adult check-in
  24. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  25. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  26. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache
    Adult check-in
  27. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  28. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-21
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-04-13
  38. 2022-04-18
  39. 2022-05-01
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-10-29
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-19Moderna
22021-03-19Moderna
32021-10-29Moderna No

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 6 — day 0, dose 2

2021-03-19

Systemic reaction (other): Light headed

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Left leg has pain in the calf and behind knee

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Left leg behind knee causing severe pain.

Release 7 — day 35, dose 2

2021-04-23

Symptoms: This actually started 3/30, 11 days after 2nd vaccine. When I cough or burp, vaper or what looks like smoke comes out of my mouth.Never had this before and I do not smoke. I have scheduled an appt with my dr to discuss.

Release 8 — day 42, dose 2

2021-04-30

Symptoms: Still coughing vaper (smoke) and do not smoke at all. See physician on 5.6.21
Healthcare visit (other): Have appt 5.6.21 at dr office

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
HCVOUnevaluable event ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDEructation ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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