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4BC-58269-20951

4 vaccinations 9 coded responses 36 check-ins 9 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
750 / TX
Registered
2021-01-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  4. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pyrexia — Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness
    Free text: Last night I had a low grade fever.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Body temperature increased — Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness
    Free text: My temperature is slightly elevated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-25
    Survey response — day 14, dose 1
    MedDRA: Asthma, Dyspnoea, Nasopharyngitis — Feeling: Fair
    Free text: I am having difficulty breathing. I think its an asthma flare up due to a cold. I did call my doctor to get their advice.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-08
    Dose 2 — Moderna
  13. 2021-02-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-15
    Survey response — day 35, dose 2
    MedDRA: Asthma, Dyspnoea, Pre-existing disease — Feeling: Poor · 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: Difficulty breathing. Having an asthma flare-up. Pulmonologist prescribed Prednisone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-15
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-03-22
    Survey response — day 42, dose 2
    MedDRA: Asthma, Medical counselling, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My asthma continues to be flared up even after a prednisone 5 day dose. Today my pulmonologist prescribed more prednisone and an antibiotic.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-10
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-08-09
    Survey response — 6 months, dose 2
    MedDRA: Asthma, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Chronic asthma problems
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-08-09
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-08-13
  23. 2021-10-22
    Dose 3 — Moderna
  24. 2021-10-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary mass, Pain, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: Sat. I had 103.9 fever and body aches, lump in my armpit.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  26. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-10-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-05
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-01-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-04-08
    Dose 4 — Moderna
  36. 2022-04-15
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-04-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-04-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-05-06
    Survey response — day 28, dose 4
    MedDRA: Fatigue, Oropharyngeal pain — Feeling: Poor
    Free text: Sore throat and fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-05-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-05-20
    Survey response — day 42, dose 4
    MedDRA: Malaise, Oropharyngeal pain, Pyrexia — Feeling: Fair
    Free text: Low grade fever, malaise, sore throat
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-07-10
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-10-07
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2023-04-08
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-08Moderna
32021-10-22Moderna No
42022-04-08Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Last night I had a low grade fever.

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): My temperature is slightly elevated.

Release 2 — day 14, dose 1

2021-01-25

Symptoms: I am having difficulty breathing. I think its an asthma flare up due to a cold. I did call my doctor to get their advice.

Release 5 — day 35, dose 2

2021-03-15

Symptoms: Difficulty breathing. Having an asthma flare-up. Pulmonologist prescribed Prednisone.

Release 6 — day 42, dose 2

2021-03-22

Symptoms: My asthma continues to be flared up even after a prednisone 5 day dose. Today my pulmonologist prescribed more prednisone and an antibiotic.

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Chronic asthma problems

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Sat. I had 103.9 fever and body aches, lump in my armpit.

Release 11 — day 28, dose 4

2022-05-06

Symptoms: Sore throat and fatigue.

Release 11 — day 42, dose 4

2022-05-20

Symptoms: Low grade fever, malaise, sore throat

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
SDAsthma ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue · · ✓
SDMalaise · · ✓
SDMedical counselling ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia · · ✓
SROAxillary mass · · ✓
SROBody temperature increased ✓ ✓ ✓
SROPain · · ✓
SROPyrexia ✓ ✓ ✓

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