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45L-15159-31794

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
120 / NY
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Dose 1 — Moderna
  2. 2021-01-06
    Registered in v-safe
  3. 2021-01-06
    Survey response — day 14, dose 1
    MedDRA: Bone pain, Fatigue, Injection site erythema, Injection site pain, Injection site urticaria, Pruritus — Feeling: Fair
    Free text: I have a 9 to 10 cm urticarial wheel on my left arm at the site of the vaccine. It is violaceous in the center with an area of clearing and then a large area of erythema. Also have some fatigue, generalized pruritus, and bony pain at injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-13
    Survey response — day 21, dose 1
    MedDRA: Asthma, Contusion, Diarrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I had an asthma attack last Thurs and needed solumedrol. The wheal on my arm is more bruised but improved overall. I have had semiformed diarrhea for one week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-13
    Report sent to call center — day 21, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-01-21
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-01-22
    Dose 2 — Moderna
  8. 2021-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Myalgia, Pyrexia — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: I did have a low-grade fever for approximately four days afterwards and severe myalgias 24 hours after the shot was given
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Headache, Fatigue or tiredness
    Adult check-in
  10. 2021-01-29
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-02-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-19
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Hot flush — Feeling: Fair
    Free text: Hot flashes and severe fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-26
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Headache, Pain — Feeling: Fair
    Free text: Fatigue and body aches, headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-01
  16. 2021-03-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-23
    Survey response — 3 months, dose 2
    MedDRA: Cognitive disorder, Fatigue, Flushing, Medical counselling, Neuropathy peripheral, Vision blurred — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I was diagnosed with side a kind released syndrome on 3/8/21 because I have been experiencing flushing, fatigue, neuropathy, blurry vision, cognitive difficulty, and dyspnea. He started me on Claritin which helped. I did not need steroids. · Healthcare visit (other): I am a physician so I just reached out to him directly.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-23
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-06-16
  20. 2021-07-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-01-22
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-22Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-06

Symptoms: I have a 9 to 10 cm urticarial wheel on my left arm at the site of the vaccine. It is violaceous in the center with an area of clearing and then a large area of erythema. Also have some fatigue, generalized pruritus, and bony pain at injection site. cut off by CDC

Release 1 — day 21, dose 1

2021-01-13

Symptoms: I had an asthma attack last Thurs and needed solumedrol. The wheal on my arm is more bruised but improved overall. I have had semiformed diarrhea for one week.

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): I did have a low-grade fever for approximately four days afterwards and severe myalgias 24 hours after the shot was given

Release 4 — day 28, dose 2

2021-02-19

Symptoms: Hot flashes and severe fatigue

Release 4 — day 35, dose 2

2021-02-26

Symptoms: Fatigue and body aches, headaches

Release 7 — 3 months, dose 2

2021-04-23

Symptoms: I was diagnosed with side a kind released syndrome on 3/8/21 because I have been experiencing flushing, fatigue, neuropathy, blurry vision, cognitive difficulty, and dyspnea. He started me on Claritin which helped. I did not need steroids.
Healthcare visit (other): I am a physician so I just reached out to him directly.

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
HCVOMedical counselling ✓ ✓ ✓
SDAsthma ✓ ✓ ✓
SDBone pain ✓ ✓ ✓
SDCognitive disorder ✓ ✓ ✓
SDContusion ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFlushing ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHot flush ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site urticaria ✓ ✓ ✓
SDNeuropathy peripheral ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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