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4CH-31660-18403

3 vaccinations 5 coded responses 18 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
120 / NY
Registered
2021-01-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-18
    Registered in v-safe
  2. 2021-01-18
    Dose 1 — Moderna
  3. 2021-01-18
    Health check-in — day 0, dose 1
    Feeling: Fair · None
    Adult check-in
  4. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-01
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Good
    Free text: My injection site became red with swelling and itching about 8 days post to njectuon. Lasted 3 days then went away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-15
    Dose 2 — Moderna
  12. 2021-02-22
    Survey response — day 7, dose 2
    MedDRA: Chills, Fatigue, Headache — Feeling: Good · Site: Pain
    Free text: The next day Feb 16 had chills off and on, headache off and on and feeling tired but very mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-16
    Survey response — 6 months, dose 2
    MedDRA: Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Diagnosed with Sarcoidosis which actually started before vaccine so nothing to do with it · Healthcare visit (other): Specialists
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-08-16
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-12-06
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  22. 2021-12-12
    Dose 3 — Moderna
  23. 2022-02-17
    Survey response — 12 months, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good
    Free text: Another uveitis flare up due to Sarcoidosis-no relation to vaccine , booster or Covid
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-12-12
    Survey response — 12 months, dose 3
    MedDRA: COVID-19 — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Covid mild case in August On paxlovid
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-12-12
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  26. 2022-12-13

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-15Moderna
32021-12-12Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-01

Symptoms: My injection site became red with swelling and itching about 8 days post to njectuon. Lasted 3 days then went away

Release 4 — day 7, dose 2

2021-02-22

Systemic reaction (other): The next day Feb 16 had chills off and on, headache off and on and feeling tired but very mild

Release 9 — 6 months, dose 2

2021-08-16

Symptoms: Diagnosed with Sarcoidosis which actually started before vaccine so nothing to do with it
Healthcare visit (other): Specialists

Release 11 — 12 months, dose 2

2022-02-17

Symptoms: Another uveitis flare up due to Sarcoidosis-no relation to vaccine , booster or Covid

Release 12 — 12 months, dose 3

2022-12-12

Symptoms: Covid mild case in August On paxlovid

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
HCVOOffice visit ✓ · ✓
SDCondition aggravated · · ✓
SDCOVID-19 · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓

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