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3UE-36999-33069

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
201 / VA
Registered
2020-12-28
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-28
    Registered in v-safe
  2. 2020-12-28
    Dose 1 — Moderna
  3. 2020-12-28
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches
    Adult check-in
  4. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-25
    Dose 2 — Moderna
  12. 2021-01-25
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-01-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  15. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-15
    Survey response — day 21, dose 2
    MedDRA: Lymphadenopathy, Urticaria — Feeling: Good
    Free text: I have had 6 hive like lesions appear on my body. Also, I have a payable Asymmetric right occipital lymph node seen measuring 9 x 8 mm on the right side. There is no elevated white blood count. I did get my vaccine on the right side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-01
    Survey response — day 35, dose 2
    MedDRA: Infection, Lymphadenopathy, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Another rash on my chest on the right side. Also, I have some kind if infection and needed to be on antibiotics. This occurred after 2nd shot, about 3 to weeks later. The enlarged lymph in neck is decreasing after antibiotics.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-01
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-03-08
    Survey response — day 42, dose 2
    MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Rash on right chest area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-08
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-04-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-17
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  29. 2022-01-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna
22021-01-25Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): dizziness

Release 4 — day 21, dose 2

2021-02-15

Symptoms: I have had 6 hive like lesions appear on my body. Also, I have a payable Asymmetric right occipital lymph node seen measuring 9 x 8 mm on the right side. There is no elevated white blood count. I did get my vaccine on the right side.

Release 4 — day 35, dose 2

2021-03-01

Symptoms: Another rash on my chest on the right side. Also, I have some kind if infection and needed to be on antibiotics. This occurred after 2nd shot, about 3 to weeks later. The enlarged lymph in neck is decreasing after antibiotics.

Release 5 — day 42, dose 2

2021-03-08

Symptoms: Rash on right chest area.

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
SDInfection ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SRODizziness ✓ ✓ ✓

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