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47X-36095-13308

4 vaccinations 6 coded responses 24 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
672 / KS
Registered
2021-01-02
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-01-02
    Registered in v-safe
  2. 2021-01-02
    Dose 1 — Moderna
  3. 2021-01-02
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  5. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Pruritus — Feeling: Good · Site: Pain, Redness, Itching
    Free text: Itching was more of a symptom yesterday than today. Today - the injection site is tender with pressure it I'm not feeling it with use of the arm. I marked mild because the symptoms are present but they are less than yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in jaw, Swelling face, Tenderness — Feeling: Good
    Free text: Localized swollen area under right jaw - very tender to touch and a pressure type of pain when I bend over at that spot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in jaw, Swelling face — Feeling: Good
    Free text: Left jaw continues to be a little swollen and tender - less
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-09
    Survey response — day 7, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Minimal tenderness over node in neck, minimal swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-30
    Dose 2 — Moderna
  14. 2021-04-03
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-07-03
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-11-19
    Dose 3 — Moderna
    Co-administered: Flu
  17. 2022-01-02
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in
  18. 2022-09-23
    Dose 4 — Moderna
  19. 2022-09-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  20. 2022-09-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  21. 2022-09-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  22. 2022-09-30
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  23. 2022-10-07
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-10-14
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-10-21
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-10-28
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-11-06
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-12-23
    Survey response — 3 months, dose 4
    MedDRA: Hysterectomy — Feeling: Fair · 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
    Free text: I had a hysterectomy yesterday. No complications. Pacing myself for recovery
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-12-23
    Report sent to call center — 3 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  30. 2022-12-27
  31. 2023-01-03
    Call successful
    Not applicable - Accidental Reporting
  32. 2023-03-24
    Survey response — 6 months, dose 4
    MedDRA: Hysterectomy — Feeling: Good · Be unable to work or attend school
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-30Moderna No
32021-11-19Moderna Flu
42022-09-23Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Itching was more of a symptom yesterday than today. Today - the injection site is tender with pressure it I'm not feeling it with use of the arm. I marked mild because the symptoms are present but they are less than yesterday

2021-01-07

Systemic reaction (other): Localized swollen area under right jaw - very tender to touch and a pressure type of pain when I bend over at that spot

2021-01-08

Systemic reaction (other): Left jaw continues to be a little swollen and tender - less

Release 1 — day 7, dose 1

2021-01-09

Systemic reaction (other): Minimal tenderness over node in neck, minimal swelling

Release 12 — 3 months, dose 4

2022-12-23

Symptoms: I had a hysterectomy yesterday. No complications. Pacing myself for recovery

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
SDHysterectomy · · ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ○ ○ ○
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSwelling face ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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