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3VH-23523-13482

2 vaccinations 3 coded responses 11 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
891 / NV
Registered
2021-04-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-13
    Dose 1 — Moderna
  2. 2021-04-14
    Registered in v-safe
  3. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  4. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-20
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-04-27
    Survey response — day 14, dose 1
    MedDRA: Hypersensitivity, Lip swelling, Urticaria — Feeling: Fair
    Free text: I'm having an allergic reaction. My upper lip is slightly swollen and I have welts on both of my upper arms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-12
    Dose 2 — Moderna
  11. 2021-05-12
    Survey response — day 0, dose 2
    MedDRA: Immediate post-injection reaction, Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: Upper left arm is swollen and painful all the way around it, including the under arm. It was instant right after the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Impaired work ability, Loss of personal independence in daily activities, Swelling, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): I've developed severe swelling and pain in my lower back. It has made the last three days very hard to to work and do normal activities. I'm seeing a primary doctor tomorrow. · Healthcare visit (other): Made appointment for tomorrow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-17
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-05-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-05-11

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-12Moderna

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 8 — day 14, dose 1

2021-04-27

Symptoms: I'm having an allergic reaction. My upper lip is slightly swollen and I have welts on both of my upper arms.

Release 8 — day 0, dose 2

2021-05-12

Systemic reaction (other): Upper left arm is swollen and painful all the way around it, including the under arm. It was instant right after the shot.

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): I've developed severe swelling and pain in my lower back. It has made the last three days very hard to to work and do normal activities. I'm seeing a primary doctor tomorrow.
Healthcare visit (other): Made appointment for tomorrow

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 ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDLip swelling ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROLoss of personal independence in daily activities ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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