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3QN-63735-09877

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 4 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
151 / PA
Registered
2021-09-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-03
    Registered in v-safe
  2. 2021-09-03
    Dose 1 — Moderna
  3. 2021-09-03
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I felt dizzy not long after the injection
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-09-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-09-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-09-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-09-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  8. 2021-09-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-09-17
    Survey response — day 14, dose 1
    MedDRA: Dizziness, Ear discomfort, Fatigue, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Chest congestion stuffy nose and ears. Sore throat and overall feeling tired and dizzy
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-09-24
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-10-01
    Dose 2 — Moderna
  12. 2021-10-01
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  13. 2021-10-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-10-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  15. 2021-10-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Respiratory symptom, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): I have to see my doctor due to feeling like I have pneumonia · Healthcare visit (other): Not sure whatever my doctor orders
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-10-05
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-10-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hospitalisation, Unevaluable event — Feeling: Poor · Fever · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Systemic reaction (other): I'm in the hospital due to unrelated conditions · Healthcare visit (other): Due to neededing imaging I has some issues
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-10-06
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  19. 2021-10-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Malaise, Unevaluable event — Feeling: Fair · Site: Pain · Fever · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Systemic reaction (other): Due to a heath issue I'm not feeling well · Healthcare visit (other): Dr pcp I will have tomorrow
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-10-07
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  21. 2021-10-07
  22. 2021-10-10
    Health check-in — day 7, dose 2
    Feeling: Fair · Fever · Fatigue or tiredness
    Adult check-in
  23. 2021-10-15
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-10-29
    Survey response — day 28, dose 2
    MedDRA: Lymphoedema — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Lymph nodes are filling with fluid
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-05
    Survey response — day 35, dose 2
    MedDRA: Joint swelling, Peripheral swelling, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Feet swelling up to my knees · Healthcare visit (other): None because my doctor doesn't help me
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-05
    Report sent to call center — day 35, 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
    1 call case(s)
  27. 2021-11-08

Vaccinations

DoseDateManufacturerCo-administered
12021-09-03Moderna No
22021-10-01Moderna No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-09-03

Systemic reaction (other): I felt dizzy not long after the injection

Release 9 — day 14, dose 1

2021-09-17

Symptoms: Chest congestion stuffy nose and ears. Sore throat and overall feeling tired and dizzy

Release 10 — days 1–6 daily, dose 2

2021-10-05

Systemic reaction (other): I have to see my doctor due to feeling like I have pneumonia
Healthcare visit (other): Not sure whatever my doctor orders

2021-10-06

Systemic reaction (other): I'm in the hospital due to unrelated conditions
Healthcare visit (other): Due to neededing imaging I has some issues

2021-10-07

Systemic reaction (other): Due to a heath issue I'm not feeling well
Healthcare visit (other): Dr pcp I will have tomorrow

Release 10 — day 28, dose 2

2021-10-29

Symptoms: Lymph nodes are filling with fluid

Release 10 — day 35, dose 2

2021-11-05

Symptoms: Feet swelling up to my knees
Healthcare visit (other): None because my doctor doesn't help me

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 · · ✓
SDDizziness · · ✓
SDEar discomfort · · ✓
SDFatigue · · ✓
SDJoint swelling · · ✓
SDLymphoedema · · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SDPeripheral swelling · · ✓
SDRespiratory tract congestion · · ✓
SRODizziness ✓ · ✓
SROHospitalisation · · ✓
SROMalaise · · ✓
SRORespiratory symptom · · ✓
SROUnevaluable event · · ✓

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