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3Y7-21850-66773

3 vaccinations 12 coded responses 40 check-ins 12 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
277 / NC
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Registered in v-safe
  2. 2021-02-12
    Dose 1 — Moderna
  3. 2021-02-12
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  5. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  6. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-12
    Dose 2 — Moderna
  14. 2021-03-12
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling
    Free text: Only been 3 hours since vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swollen & tender lymph nodes axilla on arm of vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Tenderness & swelling axillary node
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Headache
    Free text: Axillary node tender & swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tenderness — Feeling: Good · Headache, Nausea
    Free text: Tender axilla
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tenderness — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Axilla tender
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-02
    Survey response — day 21, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Arm pain at injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-11
    Survey response — 3 months, dose 2
    MedDRA: Ovarian cyst, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Symptoms: Large complex ovarian cyst, required surgery. Unlikely it was associated with vaccine. · Healthcare visit (other): Surgery
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-06-11
    Report sent to call center — 3 months, 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)
  29. 2021-06-22
  30. 2021-09-10
    Survey response — 6 months, dose 2
    MedDRA: Headache, Malaise, Pyrexia, Sinus pain — Feeling: Good
    Free text: Severe sinus pain, malaise, bad headache & low grade fever. No cold or sinus infection
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-13
    Dose 3 — Moderna
    Co-administered: Flu
  32. 2021-11-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Sinus pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness
    Free text: Sinus pain
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  34. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  35. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  36. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-20
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-11-27
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-04
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-11
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-18
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-12-25
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-02-12
    Survey response — 3 months, dose 3
    MedDRA: Cough, Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sore throat, headache, cough, runny nose. PCR COVID positive
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-05-14
    Survey response — 6 months, dose 3
    MedDRA: Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: COVID sx
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-11-13
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-12Moderna
32021-11-13Moderna Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): Only been 3 hours since vaccination

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Swollen & tender lymph nodes axilla on arm of vaccination.

2021-03-15

Systemic reaction (other): Tenderness & swelling axillary node

2021-03-16

Systemic reaction (other): Axillary node tender & swollen

2021-03-17

Systemic reaction (other): Tender axilla

2021-03-18

Systemic reaction (other): Axilla tender

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Arm pain at injection site.

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Large complex ovarian cyst, required surgery. Unlikely it was associated with vaccine.
Healthcare visit (other): Surgery

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Severe sinus pain, malaise, bad headache & low grade fever. No cold or sinus infection

Release 10 — days 1–6 daily, dose 3

2021-11-14

Systemic reaction (other): Sinus pain

Release 11 — 3 months, dose 3

2022-02-12

Symptoms: Sore throat, headache, cough, runny nose. PCR COVID positive

Release 11 — 6 months, dose 3

2022-05-14

Symptoms: COVID sx

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
HCVOSurgery ✓ ✓ ✓
SDCough · · ✓
SDHeadache · · ✓
SDInjection site pain ✓ ✓ ✓
SDMalaise · · ✓
SDOropharyngeal pain · · ✓
SDOvarian cyst ✓ ✓ ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test positive · · ✓
SDSinus pain · · ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROSinus pain · · ✓
SROTenderness ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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