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49J-16948-51470

3 vaccinations 4 coded responses 27 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
902 / CA
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-25
    Dose 2 — Moderna
  13. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-10-27
    Dose 3 — Moderna
  21. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  22. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Headache, Neck pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Very very mild Soreness in neck and nap of skull
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Headache, Neck pain — Feeling: Good
    Free text: Still have sore neck and nap of skull and shoulder top.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-11-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Headache, Muscle tightness, Neck pain — Feeling: Good · Muscle or body aches
    Free text: Still have a little achy ness in the neck, nap of the skull, and top of shoulders. More like tightness.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  26. 2021-11-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-26
    Survey response — 3 months, dose 3
    MedDRA: Abdominal pain upper, Gastritis, Headache, Hepatic enzyme increased, Hepatic pain, Nausea, Office visit, Pain — Feeling: Good · 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've had nausea, stomach and liver pain, body aches, slight headache two weeks ago. Now I'm better no more nausea, headaches all around feel better. My doctor said I have gastritis and high numbers on my liver, X-rays came out good.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-01-26
    Report sent to call center — 3 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  32. 2022-03-24
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  33. 2022-10-27
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna
32021-10-27Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Very very mild Soreness in neck and nap of skull

2021-11-01

Systemic reaction (other): Still have sore neck and nap of skull and shoulder top.

2021-11-02

Systemic reaction (other): Still have a little achy ness in the neck, nap of the skull, and top of shoulders. More like tightness.

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: I've had nausea, stomach and liver pain, body aches, slight headache two weeks ago. Now I'm better no more nausea, headaches all around feel better. My doctor said I have gastritis and high numbers on my liver, X-rays came out good.

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
SDAbdominal pain upper · · ✓
SDGastritis · · ✓
SDHeadache · · ✓
SDHepatic enzyme increased · · ✓
SDHepatic pain · · ✓
SDNausea · · ✓
SDOffice visit · · ✓
SDPain · · ✓
SROArthralgia · · ✓
SROHeadache · · ✓
SROMuscle tightness · · ✓
SRONeck pain · · ✓

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