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43W-61244-53555

2 vaccinations 5 coded responses 20 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
341 / FL
Registered
2021-09-09
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-09-09
    Registered in v-safe
  2. 2021-09-09
    Dose 1 — Moderna
  3. 2021-09-09
    Health check-in — day 0, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2021-09-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Nausea
    Adult check-in
  5. 2021-09-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Vision blurred — Feeling: Fair · Headache, Diarrhea
    Free text: Blurry vision
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-09-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-09-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-09-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-09-23
    Survey response — day 14, dose 1
    MedDRA: Axillary pain, Brain fog, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Got sick. Congestion, stuffy nose, sore throat and head foggy. Tested negative for Covid. Also had a sore armpit on the arm I got the shot.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-09-23
    Report sent to call center — day 14, dose 1
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  11. 2021-09-27
  12. 2021-10-22
    Dose 2 — Moderna
  13. 2021-10-22
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-10-23
    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, Nausea
    Adult check-in
  15. 2021-10-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tenderness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Arm pit area starting to get sensitive on the right side where I got my shot
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-10-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  17. 2021-10-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  18. 2021-10-29
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-11-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-11-12
    Survey response — day 21, dose 2
    MedDRA: Dysgeusia, Upper-airway cough syndrome — Feeling: Good
    Free text: For about 3 days now I've had a metallic taste in my mouth and have more post nasal drip. Not sure if it's related but never had this before
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-12-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-01-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-04-24
    Survey response — 6 months, dose 2
    MedDRA: Cough, Headache, Malaise, Nausea, Paranasal sinus discomfort, SARS-CoV-2 test negative, Secretion discharge — Feeling: Good
    Free text: Got sick for about a week. Sinus pressure, headache, slight cough from mucus, thick clear mucus, nausea. Tested negative for Covid with self at home test
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-09-09Moderna No
22021-10-22Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-11

Systemic reaction (other): Blurry vision

Release 9 — day 14, dose 1

2021-09-23

Symptoms: Got sick. Congestion, stuffy nose, sore throat and head foggy. Tested negative for Covid. Also had a sore armpit on the arm I got the shot.

Release 10 — days 1–6 daily, dose 2

2021-10-24

Systemic reaction (other): Arm pit area starting to get sensitive on the right side where I got my shot

Release 10 — day 21, dose 2

2021-11-12

Symptoms: For about 3 days now I've had a metallic taste in my mouth and have more post nasal drip. Not sure if it's related but never had this before

Release 11 — 6 months, dose 2

2022-04-24

Symptoms: Got sick for about a week. Sinus pressure, headache, slight cough from mucus, thick clear mucus, nausea. Tested negative for Covid with self at home test

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
SDAxillary pain · · ✓
SDBrain fog · · ✓
SDCough · · ✓
SDDysgeusia · · ✓
SDHeadache · · ✓
SDMalaise · · ✓
SDNasal congestion · · ✓
SDNausea · · ✓
SDOropharyngeal pain · · ✓
SDParanasal sinus discomfort · · ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSecretion discharge · · ✓
SDUpper-airway cough syndrome · · ✓
SROTenderness · · ✓
SROVision blurred · · ✓

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