4DN-23191-74633
3 vaccinations
8 coded responses
34 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 103 / NY
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-08
Registered in v-safe
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2021-01-08
Dose 1 — Moderna
- 2021-01-09
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
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2021-01-22
Survey response — day 14, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Itchy skin-but not at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
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2021-02-05
Dose 2 — Moderna
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-08
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Fatigue or tirednessFree text: Itchiness-not at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Fatigue or tirednessFree text: Itching-NOT at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Pruritus — Feeling: Good · Joint pains, Muscle or body achesFree text: Itching/redness NOT at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
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2021-05-07
Survey response — 3 months, dose 2MedDRA: Dry skin, Erythema, Office visit, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Redness, dryness, itching skin but not at the injection-intermittently since vaccination · Healthcare visit (other): DermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-06
Survey response — 6 months, dose 2MedDRA: Fatigue, Headache — Feeling: GoodFree text: Few days with Headaches, fatigueMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-12-08
Dose 3 — ModernaCo-administered: Flu
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-22
- 2021-12-29
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2022-01-05
Survey response — day 28, dose 3MedDRA: Chills, Fatigue, Headache, Insomnia, Nasal congestion, Night sweats, Pain, Productive cough, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Productive cough, stuffy/runny nose, headache,body aches,chills,night sweats,fatigue, insomnia; positive covid testMedDRA releases: 2024-11 · check-in free text available
- 2022-01-12
- 2022-01-19
- 2022-03-09
- 2022-04-15
- 2022-06-08
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2022-12-08
Survey response — 12 months, dose 3MedDRA: Alopecia, Ear congestion, Nasal congestion, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Large amount of hair loss-nasal/sinus/ear congestion for over a monthMedDRA releases: 2024-11 · check-in free text available
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2022-12-08
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-12-08 | Moderna | Flu |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 14, dose 1
Symptoms: Itchy skin-but not at the injection site
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Itchiness-not at the injection site
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Itching-NOT at the injection site
Systemic reaction (other): Itching/redness NOT at the injection site
Release 8 — 3 months, dose 2
Symptoms: Redness, dryness, itching skin but not at the injection-intermittently since vaccination
Healthcare visit (other): Dermatologist
Release 9 — 6 months, dose 2
Symptoms: Few days with Headaches, fatigue
Release 10 — day 28, dose 3
Symptoms: Productive cough, stuffy/runny nose, headache,body aches,chills,night sweats,fatigue, insomnia; positive covid test
Release 12 — 12 months, dose 3
Symptoms: Large amount of hair loss-nasal/sinus/ear congestion for over a month
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release