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3PV-27183-55681

2 vaccinations 4 coded responses 22 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
300 / GA
Registered
2021-03-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-26
    Registered in v-safe
  2. 2021-03-26
    Dose 1 — Moderna
  3. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gingival pain, Glossodynia, Oral pain — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: my mouth hurts, little sores under tongue and on my gums
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  6. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-04-02
    Health check-in — day 7, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  9. 2021-04-09
    Survey response — day 14, dose 1
    MedDRA: Diarrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Can't get diarrhea under control, taking lomotif and it's not helping. Seeing the Dr Monday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-09
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-04-16
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-04-23
    Dose 2 — Moderna
  13. 2021-04-23
    Health check-in — day 0, dose 2
    Feeling: Good · Fever · Fatigue or tiredness
    Adult check-in
  14. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches
    Adult check-in
  17. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches
    Adult check-in
  19. 2021-04-30
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: my back started a few days ago, not sure why, but it's annoying af
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-23
    Survey response — 3 months, dose 2
    MedDRA: Condition aggravated, Office visit, Pre-existing disease, Pulmonary congestion, Renal cyst, Tooth abscess, Tooth extraction — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have stage 4 renal cancer, since vaccination another lesion and cyst pop up on my remaining kidney. Also, a tooth suddenly abscessed, requiring removal, and my lungs have been congested for a couple of weeks. Being ultra careful re: Delta variant. · Healthcare visit (other): extra oncology visits, ultra sound, CT scan
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2021-07-23
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-07-29
  28. 2021-10-22
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-23Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): my mouth hurts, little sores under tongue and on my gums

Release 7 — day 14, dose 1

2021-04-09

Symptoms: Can't get diarrhea under control, taking lomotif and it's not helping. Seeing the Dr Monday.

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): my back started a few days ago, not sure why, but it's annoying af

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: I have stage 4 renal cancer, since vaccination another lesion and cyst pop up on my remaining kidney. Also, a tooth suddenly abscessed, requiring removal, and my lungs have been congested for a couple of weeks. Being ultra careful re: Delta variant. cut off by CDC
Healthcare visit (other): extra oncology visits, ultra sound, CT scan

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 ✓ · ✓
SDCondition aggravated ✓ · ✓
SDDiarrhoea ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDPulmonary congestion ✓ · ✓
SDRenal cyst ✓ · ✓
SDTooth abscess ✓ · ✓
SDTooth extraction ✓ · ✓
SROGingival pain ✓ ✓ ✓
SROGlossodynia ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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